Individual provider Active NPI

Derek Atwood Straffon, D.D.S, M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenwood Village, CO
National Provider Identifier
1659375574
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8341 Issued in CO
Practice address
8745 E Orchard Rd Ste 513
Greenwood Village, CO 80111-5007
Phone
(303) 758-3414
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8341 CO Primary

Addresses

Primary practice location

8745 E Orchard Rd Ste 513
Greenwood Village, CO 80111-5007

Mailing address

8745 E Orchard Rd Ste 513
Greenwood Village, CO 80111-5007
Phone (303) 758-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8341COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Derek a. Straffon, DDS, Ms, PC Orthodontics and Dentofacial Orthopedics CurrentSince May 29, 2022 Accepting new patients

Locations

6850 E Hampden Ave
Ste 203
Denver, CO 80224

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1659375574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 E ORCHARD RD STE 513",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115007",
            "telephone_number": "303-758-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 E ORCHARD RD STE 513",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115007",
            "telephone_number": "303-758-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAFFON",
        "first_name": "DEREK",
        "middle_name": "ATWOOD",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.