Active NPI
Scott Novak
- General Practice Dentistry
- Aurora, CO
National Provider Identifier
1720208432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8775
- Practice address
- 24112 E Orchard Rd
BLDG LF-09, Unit E
Aurora, CO 80016-5349 - Phone
- (303) 457-5288
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8775 | CO | Primary |
Addresses
Primary practice location
24112 E Orchard Rd
BLDG LF-09, Unit E
Aurora, CO 80016-5349
Mailing address
24112 E Orchard Rd
BLDG LF-09, Unit E
Aurora, CO 80016-5349
Phone (303) 457-5288
Other practice location 1
115 Wilcox St Ste 123
Castle Rock, CO 80104-1992
Phone (720) 638-8093
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160606000560 | CO | Order and Referring Only - Dentist | 6002106978 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8775 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novak Dentistry, PLLC | Current | Accepting new patients |
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.
-
- Dental Clinic/Center
- Castle Rock, CO
- NPI 1528763364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1720208432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24112 E ORCHARD RD",
"address_2": "BLDG LF-09, UNIT E",
"city": "AURORA",
"state": "CO",
"postal_code": "800165349",
"telephone_number": "303-457-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24112 E ORCHARD RD",
"address_2": "BLDG LF-09, UNIT E",
"city": "AURORA",
"state": "CO",
"postal_code": "800165349",
"telephone_number": "303-457-5288"
}
],
"practiceLocations": [
{
"address_1": "115 Wilcox St Ste 123",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801041992",
"country_code": "US",
"telephone_number": "720-638-8093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.