Omar A Macaraeg, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7757 Issued in CO

Practice address

2 W Dry Creek Cir
Suite 170
Littleton, CO 80120-8068

Phone

(303) 795-9699

Fax

(303) 795-9697

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Omar A Macaraeg Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Colorado Endodontic Specialists, Inc

  • Endodontics
  • Littleton, CO
  • NPI 1417978453
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700958808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W DRY CREEK CIR",
            "address_2": "SUITE 170",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208068",
            "telephone_number": "303-795-9699",
            "fax_number": "303-795-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W DRY CREEK CIR",
            "address_2": "SUITE 170",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208068",
            "telephone_number": "303-795-9699",
            "fax_number": "303-795-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARAEG",
        "first_name": "OMAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OMAR",
            "last_name": "MACARAEG",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.D.S., M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jenn Lyon
• Jessica Lyon, LCSW
• Tracy Lyon, MD
• M5 Chiropractic Professional LLC
• Cynthia Macallister
• Linda Macaulay
• Lee A Macdonald, MD
• Joel A Macfarland, LCSW
• Fatima Maciel Vargas
• Mary Denise Mack

• Endodontics in Littleton, CO
• Providers in Littleton, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.