Individual provider Active NPI

Alan Zev Pomeranz, DMD

  • Periodontics
  • Denver, CO
National Provider Identifier
1891721551
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
7807 Issued in CO
Practice address
3690 S Yosemite St
Denver, CO 80237-1827
Phone
(303) 695-0990
Fax
(303) 695-6915
NPI assigned
Jun 24, 2006
Last updated
Jul 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7807 CO Primary

Addresses

Primary practice location

3690 S Yosemite St
Denver, CO 80237-1827

Mailing address

3690 S Yosemite St
Denver, CO 80237-1827
Phone (303) 695-0990

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
I20201021001543 CO Order and Referring Only - DentistPractitioner - Dentist 6002128584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7807COMDPeriodontist

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1891721551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 S YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371827",
            "telephone_number": "303-695-0990",
            "fax_number": "303-695-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 S YOSEMITE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371827",
            "telephone_number": "303-695-0990",
            "fax_number": "303-695-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANZ",
        "first_name": "ALAN",
        "middle_name": "ZEV",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "7807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.