STAPLETON CHILDREN'S DENTISTRY (NPI# 1083848394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083848394 |
| Entity Type | Organization |
| Organization Name | STAPLETON CHILDREN'S DENTISTRY |
| Practice Address |
2373 Central Park Blvd Suite 305 Denver CO 80238-2300 |
| Practice Telephone | 3033995437 |
| Practice Fax Number | 3033995445 |
| Mailing Telephone | 3033995437 |
| Mailing Fax Number | 3033995445 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | DR. ALFAIYAZ IBRAHIM (OWNER) |
| Authorized Official Telephone | 3033995437 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9407 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | INDIVIDUAL NPI | 1265630784 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Stapleton Children's Dentistry Properties, LLC | 2580 17th St. Unit 207, Denver, CO 80211 |
| Street Address |
2373 CENTRAL PARK BLVD SUITE 305 |
| City | DENVER |
| State | CO |
| Zip Code | 80238-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497799241 | David Erik Ouderkirk Dpm PC | Podiatrist | 2373 Central Park Blvd, Suite 201, Denver, CO 80238-2300 | 2006-06-15 |
| 1598213803 | Tajah Schall | Counselor | 2373 Central Park Blvd, Unit 100, Denver, CO 80238-2300 | 2016-09-15 |
| 1396290375 | Jennifer Gennaro Prokopchik | Social Worker | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2016-08-19 |
| 1861858318 | Arisone Home Health Care, Inc. | In Home Supportive Care | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2016-01-13 |
| 1215312632 | Shine Chiropractic, LLC | Chiropractor | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2015-07-27 |
| 1770966269 | Aronoff Counseling LLC | Counselor | 2373 Central Park Blvd, Suite 100, Denver, CO 80238-2300 | 2015-07-02 |
| 1255771960 | Jennifer Ashley Gennaro | Social Worker | 2373 Central Park Blvd, Unit 100, Denver, CO 80238-2300 | 2013-06-26 |
| 1609118587 | Amanda Kay Huston | Optometrist | 2373 Central Park Blvd, Suite 102, Denver, CO 80238-2300 | 2013-03-19 |
| 1548557317 | Brian Fuller Md PC | Physical Medicine & Rehabilitation | 2373 Central Park Blvd, Suite 303, Denver, CO 80238-2300 | 2011-06-30 |
| 1144545997 | Bethany Michelle Carvajal | Pediatrics | 2373 Central Park Blvd, Suite 202, Denver, CO 80238-2300 | 2010-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651621 | Kuumba Therapy, LLC | Community/Behavioral Health | 2376 Central Park Blvd, Ste 100, Denver, CO 80238 | 2020-08-26 |
| 1831687755 | Daffer Ghanim | Student in an Organized Health Care Education/Training Program | 3055 Roslyn Street, Suite #100, Denver, CO 80238 | 2018-04-26 |
| 1164932612 | East Stapleton Dentistry, LLP | Dentist | 10355 E Martin Luther King Jr Blvd Suite 110, Denver, CO 80238 | 2017-10-10 |
| 1245760131 | Ellen Macdonald | Dentist | 8354 E Northfield Blvd Unit 2750, Denver, CO 80238 | 2017-06-14 |
| 1346797867 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 10406 Martin Luther King Blvd, Denver, CO 80238 | 2016-09-01 |
| 1619341997 | Northfield Family Dental | Clinic/Center | 8361 E. Northfield Blvd, Denver, CO 80238 | 2015-11-24 |
| 1922476092 | Deborah Bellesheim | Registered Nurse | 2836 Akron St, Denver, CO 80238 | 2015-09-08 |
| 1235544826 | Andrew Benson | Optometrist | 5489 N Xenia St, Denver, CO 80238 | 2014-06-23 |
| 1861817249 | Caleb Rodgers | Chiropractor | 7505 E 35th Ave Unit 302, Denver, CO 80238 | 2014-02-21 |
| 1124307095 | Ambrosia C Shepard | Counselor | 8354 E Northfield Blvd, Denver, CO 80238 | 2011-08-10 |
| Find all providers in zip 80238 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1881089282 | Craig Owens | Dentist | 1407 W 84th Ave # Sutiteb8, Denver, CO 80260-4781 | 2015-04-02 |
| 1811321300 | Lowry Pediatric Dental Health | Dentist | 8111 E Lowry Blvd Ste 200, Denver, CO 80230-7255 | 2013-09-03 |
| 1487091443 | Derek Stephen Owens | Dentist | 3255 Locust St., Denver, CO 80207 | 2013-05-31 |
| 1770817793 | Malcolm Strange Dds | Dentist | 1963 S Federal Blvd, Denver, CO 80219-5509 | 2009-09-23 |
| 1891922258 | Elizabeth Diana Crespi | Dentist | 3650 E 1st Ave, Denver, CO 80206-5500 | 2009-06-12 |
| 1093975666 | Kelsey Dorine Snavely Akin | Dentist | 4383 Tennyson St Unit 1-f, Denver, CO 80212-2315 | 2008-06-16 |
| 1467611517 | Timothy Daniel Nichols | Dentist | 4383 Tennyson St, 1f, Denver, CO 80212-2363 | 2008-06-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.