North Denver Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

46207 Issued in CO

Legal business name

NORTH DENVER ORAL & MAXILLOFACIAL SURGERY

Practice address

12213 Pecos St # 100
Westminster, CO 80234-3425

Phone

(303) 255-0500

Fax

(303) 255-0900

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Douglas Hong, DMD, MDNPI 1801980388

Title

Owner

Phone

(303) 255-0500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Douglas S. Hong, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Westminster, CO
  • NPI 1801980388
  NPD (past) Authorized official
• Kyoko Yamaji

  • Oral and Maxillofacial Surgery (Dentist)
  • Sugar Land, TX
  • NPI 1629164736
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1639470941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12213 PECOS ST # 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343425",
            "telephone_number": "303-255-0500",
            "fax_number": "303-255-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12213 PECOS ST # 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802343425",
            "telephone_number": "303-255-0500",
            "fax_number": "303-255-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DENVER ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-255-0500",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "46207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Metro Community Services Inc (North Metro Home Health)
• North Metro Community Services, Inc
• North Metro Community Services, Inc
• North Metro Community Services, Inc
• North Metro Community Services, Inc

• Oral and Maxillofacial Surgery (Dentist) in Westminster, CO
• Providers in Westminster, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.