Organization Active NPI

Craniofacial Diagnostic Center, PC C/O Stephen Winber, President

  • Dentist
  • Denver, CO
National Provider Identifier
1750475927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2638 Issued in CO
Legal business name
CRANIOFACIAL DIAGNOSTIC CENTER, PC C/O STEPHEN WINBER, PRESIDENT
Practice address
1660 S Albion St
1008
Denver, CO 80222-4008
Phone
(303) 691-0267
Fax
(303) 691-0268
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Myron Winber, DDS, MPS
Title
President
Phone
(303) 691-0267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2638 CO Primary

Addresses

Primary practice location

1660 S Albion St
1008
Denver, CO 80222-4008

Mailing address

1660 S Albion St
1008
Denver, CO 80222-4008
Phone (303) 691-0267

Other identifiers 1

IdentifierTypeStateIssuer
48936375MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750475927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 S ALBION ST",
            "address_2": "1008",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224008",
            "telephone_number": "303-691-0267",
            "fax_number": "303-691-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S ALBION ST",
            "address_2": "1008",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224008",
            "telephone_number": "303-691-0267",
            "fax_number": "303-691-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL DIAGNOSTIC CENTER, PC C/O STEPHEN WINBER, PRESIDENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINBER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-691-0267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48936375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.