Broomfield Modern Dentistry and Orthodontics, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS, LLP

Practice address

4490 W 121St Ave Ste 7
Broomfield, CO 80020-5665

Phone

(714) 368-2077

Fax

(303) 362-5615

NPI assigned

Dec 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marzieh Shafie, DMD

Title

Owner Doctor

Phone

(714) 368-2077

Specialties & licenses 1

Addresses

Other names 1

• Broomfield Modern Dentistry and Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Ornelas, D.D.S

  • Dentist
  • Broomfield, CO
  • NPI 1912306366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1619207594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 W 121ST AVE STE 7",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205665",
            "telephone_number": "714-368-2077",
            "fax_number": "303-362-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SHAFIE",
        "authorized_official_first_name": "MARZIEH",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "714-368-2077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broomfield Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broomfield Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Broomfield Dental Care PC
• Broomfield Dental Group, LLC
• Broomfield Diagnostics LLC
• Broomfield Huron Medical Center, LLC
• Broomfield Medical Associates PC
• Broomfield Orthopedic Surgery Center, LLC
• Broomfield Orthopedic Surgery Center, LLC
• Broomfield Pediatrics PLLC
• Broomfield Pediatrics, Inc
• Broomfield Plaza Family Dentistry

• General Practice Dentistry in Broomfield, CO
• Providers in Broomfield, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.