Organization Active NPI

Lakewood Dental of Colorado

  • Dental Clinic/Center
  • Lakewood, CO
National Provider Identifier
1841622297
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10098 Issued in CO
Legal business name
LAKEWOOD DENTAL OF COLORADO
Practice address
84 Garrison St Ste a
Lakewood, CO 80226-7427
Phone
(303) 233-1112
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Tariq SawaqedNPI 1043541402
Title
Owner
Phone
(720) 347-1162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 10098 CO Primary

Addresses

Primary practice location

84 Garrison St Ste a
Lakewood, CO 80226-7427

Mailing address

3073 W 109TH PL
Westminster, CO 80031-6825
Phone (720) 347-1162

National Provider Directory

National Provider Directory

Locations

84 Garrison St
Ste A
Lakewood, CO 80226
Phone (303) 223-1112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1841622297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 W 109TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316825",
            "telephone_number": "720-347-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GARRISON ST STE A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267427",
            "telephone_number": "303-233-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD DENTAL OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "SAWAQED",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-347-1162"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10098",
            "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 Apr 29, 2016; 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.