Organization Active NPI

BC Facial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Castle Rock, CO
National Provider Identifier
1992412316
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
BC FACIAL SURGERY, PLLC
Practice address
1176 Aloha St Ste 200
Castle Rock, CO 80108-2836
Phone
(303) 219-2119
Fax
(303) 219-8978
NPI assigned
Nov 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Bryan Young Chai, DDS, PHDNPI 1942644141
Title
Owner
Phone
(303) 219-2119

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 Primary

Addresses

Primary practice location

1176 Aloha St Ste 200
Castle Rock, CO 80108-2836

Mailing address

1176 Aloha St Ste 200
Castle Rock, CO 80108-2836
Phone (303) 219-2119

Other names 1

  • Oral and Facial Surgery of Eastern Colorado Doing business as

National Provider Directory

National Provider Directory

Locations

1176 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 219-2119

Practitioners & affiliated clinicians

Practitioners 1

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": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1992412316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 ALOHA ST STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801082836",
            "telephone_number": "303-219-2119",
            "fax_number": "303-219-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 ALOHA ST STE 200",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801082836",
            "telephone_number": "303-219-2119",
            "fax_number": "303-219-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC FACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "CHAI",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-219-2119",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral and Facial Surgery of Eastern Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.