Andre D. Nazarov DMD.,Ms.,PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8530 Issued in CO

Legal business name

ANDRE D. NAZAROV DMD.,MS.,PC

Practice address

7125 W Jefferson Ave
380
Lakewood, CO 80235-2333

Phone

(303) 989-5607

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andre D Nazarov, DMD.,MS.,PC

Title

Owner

Phone

(303) 989-5607

Specialties & licenses 1

Addresses

Tax ID family

Andre D Nazarov Dmdmspc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Andre D. Nazarov DMD.,Ms.,PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Parker, CO
  • NPI 1578766010
  NPD tax ID

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922200542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 W JEFFERSON AVE",
            "address_2": "380",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352333",
            "telephone_number": "303-989-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 W JEFFERSON AVE",
            "address_2": "380",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802352333",
            "telephone_number": "303-989-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRE D. NAZAROV DMD.,MS.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAZAROV",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-989-5607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD.,MS.,PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Anderson, DC
• Meri Anderson, P.A.
• Morgan Anderson, BCBA
• Susan Fern Anderson, M.A.L.P.C.
• Tyler James Anderson, M.D.
• Andrew Neighbors O.D.
• Debra L Andrews-Pederse, RN
• Francine Gaye Andrews, M. D.
• Marianna Andrews, OT
• Tim Andrews

• All providers in Lakewood, CO
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.