Braydan Noah Orth, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205984 Issued in CO

Practice address

4275 City Centre Dr Unit 400
Firestone, CO 80504-6678

Phone

(720) 845-6636

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Open and Affordable Dental Fort Collins South PLLC

  • Dentist
  • Fort Collins, CO
  • NPI 1659002160
  NPD (past)

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1801636931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 PECOS WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802217714",
            "telephone_number": "970-413-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 CITY CENTRE DR UNIT 400",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046678",
            "telephone_number": "720-845-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8201 Spinnaker Bay Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805287534",
            "country_code": "US",
            "telephone_number": "970-226-4098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 S Timberline Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253415",
            "country_code": "US",
            "telephone_number": "970-632-9006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTH",
        "first_name": "BRAYDAN",
        "middle_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Novak, M.A., LPC, NCC
• Nurses, LLC
• Lydia Ockert, DPT
• Bushra M Omar, DDS
• Open and Affordable Dental Firestone
• Otter Care Therapy
• Lauren Parente, DPT
• Peakview Physical Therapy
• Kylie B Peinado, CD(DONA)
• Paul Pelanek, R.PH.

• Dentist in Firestone, CO
• Providers in Firestone, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.