Individual provider Active NPI

Marzieh Shafie, DMD

  • Dentist
  • Northglenn, CO
National Provider Identifier
1972909166
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN00202573 Issued in CO
Practice address
421 W 104TH Ave Ste 201
Northglenn, CO 80234-4138
Phone
(303) 872-5970
NPI assigned
Nov 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN00202573 CO Primary

Addresses

Primary practice location

421 W 104TH Ave Ste 201
Northglenn, CO 80234-4138

Mailing address

885 Rocky Ridge Cir
Erie, CO 80516-7549
Phone (954) 594-6934

Other practice location 1

8960 Westminster Blvd
Westminster, CO 80031-2870
Phone (303) 219-8898

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
I20170106001508 CO Order and Referring Only - DentistPractitioner - Dentist 5799066627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN00202573COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebird Family Dentistry- Westminster PLLC PastSince Dec 6, 2022 Accepting new patients
Orchard Dental Group and Orthodontics, LLP Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1972909166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 ROCKY RIDGE CIR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805167549",
            "telephone_number": "954-594-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 104TH AVE STE 201",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344138",
            "telephone_number": "303-872-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8960 Westminster Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800312870",
            "country_code": "US",
            "telephone_number": "303-219-8898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFIE",
        "first_name": "MARZIEH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00202573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.