Active NPI
Desert Southwest Oral and Facial Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Cortez, CO
National Provider Identifier
1932943701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- Legal business name
- DESERT SOUTHWEST ORAL AND FACIAL SURGERY
- Practice address
- 33 N Elm St Ste B
Cortez, CO 81321-3105 - Phone
- (970) 516-4100
- Fax
- (970) 632-6178
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin B Sikes, DMD
- Title
- Doctor/Owner
- Phone
- (970) 516-4100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | Primary |
Addresses
Primary practice location
33 N Elm St Ste B
Cortez, CO 81321-3105
Mailing address
33 N Elm St Ste B
Cortez, CO 81321-3105
Phone (970) 516-4100
National Provider Directory
National Provider Directory- Tax ID family
- Desert Southwest Oral and Facial Surgery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Cortez, CO
- NPI 1376299131
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Shiprock, NM
- NPI 1952595605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1932943701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N ELM ST STE B",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213105",
"telephone_number": "970-516-4100",
"fax_number": "970-632-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 N ELM ST STE B",
"city": "CORTEZ",
"state": "CO",
"postal_code": "813213105",
"telephone_number": "970-516-4100",
"fax_number": "970-632-6178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT SOUTHWEST ORAL AND FACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "SIKES",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "970-516-4100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QS0112X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.