Individual provider Active NPI

Haeman Noori, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, CO
National Provider Identifier
1821256504
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10330 Issued in CO
Practice address
2290 Kipling St
Suite 2
Lakewood, CO 80215-1578
Phone
(303) 232-5637
Fax
(303) 232-5638
NPI assigned
May 29, 2008
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10330 CO Primary

Addresses

Primary practice location

2290 Kipling St
Suite 2
Lakewood, CO 80215-1578

Mailing address

2290 Kipling St
Suite 2
Lakewood, CO 80215-1578
Phone (303) 232-5637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10330COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Surgical Specialists PC Oral and Maxillofacial Surgery Current Accepting new patients
Centennial Surgical Specialists PC Oral and Maxillofacial Surgery Current Accepting new patients
Peak Oral & Maxillofacial Surgery Center Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1440 Blake St
Ste 100
Denver, CO 80202
Phone (720) 328-4990

Organizations & group practices 3

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1821256504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 KIPLING ST",
            "address_2": "SUITE 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151578",
            "telephone_number": "303-232-5637",
            "fax_number": "303-232-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 KIPLING ST",
            "address_2": "SUITE 2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151578",
            "telephone_number": "303-232-5637",
            "fax_number": "303-232-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORI",
        "first_name": "HAEMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "10330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.