Individual provider Active NPI

Bryan Paul Savage, D.D.S.

  • Pediatric Dentistry
  • Arvada, CO
National Provider Identifier
1679558829
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8643 Issued in CO
Practice address
15530 W 64TH Ave Unit H
Arvada, CO 80007-6874
Phone
(303) 422-3746
Fax
(303) 422-5811
NPI assigned
Dec 9, 2005
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8643 CO
Pediatric Dentistry 1223P0221X 8643 CO Primary

Addresses

Primary practice location

15530 W 64TH Ave Unit H
Arvada, CO 80007-6874

Mailing address

15530 W 64TH Ave Unit H
Arvada, CO 80007-6874
Phone (303) 422-3746

Other identifiers 1

IdentifierTypeStateIssuer
02926377MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427000689 CO Practitioner - Dentist 1456748102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8643COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Metro Pediatric Dentistry PLLC Pediatric Dentistry Current Accepting new patients
Denver Health and Hospital Authority CurrentSince Mar 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Mar 1, 2022 Accepting new patients
West Metro Pediatric Dentistry PLLC Pediatric Dentistry Current Accepting new patients

Locations

15530 W 64th Ave
Unit H
Arvada, CO 80007
Phone (303) 422-3742

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

Interoperability endpoints

  • Direct secure messaging: bsavage263655@direct.dhha.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1679558829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT H",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-422-3746",
            "fax_number": "303-422-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15530 W 64TH AVE UNIT H",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800076874",
            "telephone_number": "303-422-3746",
            "fax_number": "303-422-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "BRYAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8643",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "8643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02926377",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.