Organization Active NPI

Timothy a Schwartz DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1639257678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
HD100714 Issued in CO
Legal business name
TIMOTHY A SCHWARTZ DDS
Practice address
2030 So Federal Blvd
Denver, CO 80219
Phone
(303) 936-8204
Fax
(303) 936-7073
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Timothy A Schwartz, DDSNPI 1609092444
Title
Owner
Phone
(303) 936-8204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X HD100714 CO Primary

Addresses

Primary practice location

2030 So Federal Blvd
Denver, CO 80219

Mailing address

2030 So Federal Blvd
Denver, CO 80219
Phone (303) 936-8204

Other identifiers 1

IdentifierTypeStateIssuer
02007144MedicaidCO

National Provider Directory

National Provider Directory

Locations

2030 S Federal Blvd
Denver, CO 80219
Phone (303) 936-8204

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639257678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 SO FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80219",
            "telephone_number": "303-936-8204",
            "fax_number": "303-936-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 SO FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80219",
            "telephone_number": "303-936-8204",
            "fax_number": "303-936-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A SCHWARTZ DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-936-8204",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "HD100714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02007144",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.