DR. BRIAN FANGMAN (NPI# 1609027556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609027556 |
| Entity Type | Individual |
| Full Name | DR. BRIAN FANGMAN |
| Credential | DDS |
| Practice Address |
1440 Blake St Ste 100 Denver CO 80202-1475 |
| Practice Telephone | 6143547468 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
202239 | CO | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30023643 | OH | Dental Providers |
| Street Address |
1440 BLAKE ST STE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80202-1475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952791964 | Fangman Oral and Facial Surgery Professional LLC | Dentist | 1440 Blake St Ste 100, Denver, CO 80202-1475 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639798937 | Colorado Addiction and Psychiatry, LLC | Clinic/Center | 1801 Chestnut Place Unit 128, Denver, CO 80202 | 2020-04-16 |
| 1417413014 | Patient Pathways, LLC | Case Manager/Care Coordinator | 2001 16th Street, (casa Vida 18.30.1), Denver, CO 80202 | 2019-02-19 |
| 1265916209 | Beatriz Cano | Behavior Technician | 1624 Market Street Suite 226 #16916, Denver, CO 80202 | 2018-09-15 |
| 1134617582 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1600 California St Ste 14, Denver, CO 80202 | 2018-05-01 |
| 1053815118 | Autism West Behavioral Partners | Community/Behavioral Health | 1624 Market St Ste 226, Denver, CO 80202 | 2018-03-22 |
| 1073964664 | Elizabeth Mae Curie | Nurse Practitioner | 1125 17th St Ste 1000, Denver, CO 80202 | 2016-06-25 |
| 1124475967 | Phillip John Wehrman | Physical Therapist | 1401 17th St Ste 475, Denver, CO 80202 | 2016-05-23 |
| 1699133199 | University Physicians Incorporated | Obstetrics & Gynecology | 1772 Platte St, Denver, CO 80202 | 2016-01-29 |
| 1134597313 | Richard James Cleave Iv | Pharmacist | 3100 Huron St Unit 2q, Denver, CO 80202 | 2015-09-04 |
| 1437546215 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1950 Chestnut Pl, Denver, CO 80202 | 2015-04-20 |
| Find all providers in zip 80202 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1407215205 | John P Evanson | Dentist | 839 Kearney St, Denver, CO 80220-4523 | 2016-02-22 |
| 1003220260 | Michael Woodbeck | Dentist | 1707 Chestnut Pl Apt 621, Denver, CO 80202-6505 | 2014-06-16 |
| 1568752426 | Michael K. Rollert, Dds, LLC | Dentist | 2372 S Humboldt St, Denver, CO 80210-5113 | 2011-04-13 |
| 1326277906 | John Robert Nesiba | Dentist | 13701 E Mississippi Ave Ste 300, Denver, CO 80012 | 2009-07-05 |
| 1790942829 | Anne Lorraine Stearns | Dentist | 1900 Little Raven St Apt 412, Denver, CO 80202-7173 | 2008-05-16 |
| 1245384304 | Cecil Bottenbley | Dentist | 1776 Lincoln St, Suite #820, Denver, CO 80203-1022 | 2007-01-23 |
| 1477621845 | Michael P Cosby | Dentist | 180 Adams St Ste 100, Denver, CO 80206-5222 | 2006-12-01 |
| 1366553596 | Martin S Siparsky | Dentist | 155 Cook St Ste 241, Denver, CO 80206-5316 | 2006-08-31 |
| Find all providers in DENVER | ||||
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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.