Individual provider Active NPI

Aleksander Andrzej Orlik, D.D.S.

  • General Practice Dentistry
  • Glendale, CO
National Provider Identifier
1871934042
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN00202027 Issued in CO
Practice address
1100 S Colorado Blvd
Glendale, CO 80246-3003
Phone
(303) 758-0575
NPI assigned
Jul 16, 2013
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN00202027 CO Primary

Addresses

Primary practice location

1100 S Colorado Blvd
Glendale, CO 80246-3003

Mailing address

2893 Nebrina PL
Boulder, CO 80301-1517
Phone (317) 989-9890

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819008515 CO Order and Referring Only - DentistPractitioner - Dentist 3870808819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN00202027COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Creek Modern Dentistry, LLP General Practice Past 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, 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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1871934042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 NEBRINA PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011517",
            "telephone_number": "317-989-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COLORADO BLVD",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463003",
            "telephone_number": "303-758-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLIK",
        "first_name": "ALEKSANDER",
        "middle_name": "ANDRZEJ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00202027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

Verify at the official NPI Registry.