Izzy Fayerman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00204568 Issued in CO

Practice address

6730 S Cornerstar Way Ste a
Aurora, CO 80016-1571

Phone

(303) 400-4500

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Cornerstar Dental Group and Orthodontics

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1306092747
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1881297547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ALCOTT ST UNIT 1007",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 S CORNERSTAR WAY STE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161571",
            "telephone_number": "303-400-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYERMAN",
        "first_name": "IZZY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ifayermandmd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2424 Alcott St Unit 1007",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802114906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas William Fawell, M.D.
• Fawllc
• Ellen Lee Fay-Itzkowitz, LCSW
• Jennifer T Fay-Vellos, LPC
• Elisheba Fay
• Natasha Eileen Fazel, DO
• Sherwin Fazelpour
• Peter E Fecci, MD, PHD
• Charlotte Feddersen
• Meagan Fedele-Toleman, APRN, PMHNP-BC

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.