Sofyan Sayfo

Key facts

NPI

1669983334

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

DEN.00203364 (CO)

Practice address

2223 Prairie Center Pkwy Unit C
Brighton, CO 80601-7008

Phone

(303) 654-3430

NPI assigned

Oct 20, 2017

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2017.

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1669983334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 PRAIRIE CENTER PKWY UNIT C",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 PRAIRIE CENTER PKWY UNIT C",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017008",
            "telephone_number": "303-654-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYFO",
        "first_name": "SOFYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Brighton, CO · General Practice Dentistry in Colorado