Organization Active NPI

Peak Oral & Maxillofacial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, CO
National Provider Identifier
1881946309
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10330 Issued in CO
Legal business name
PEAK ORAL & MAXILLOFACIAL SURGERY CENTER
Practice address
2290 Kipling St
Suite 2
Lakewood, CO 80215-1578
Phone
(303) 232-5637
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Dr. Haeman Noori, DDSNPI 1821256504
Title
Owner
Phone
(303) 232-5637

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

2290 Kipling St
Unit 2
Lakewood, CO 80215
Phone (303) 232-1327

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": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1881946309",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK ORAL & MAXILLOFACIAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "NOORI",
        "authorized_official_first_name": "HAEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-232-5637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Oct 8, 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.