ICON DENTAL (NPI# 1467863977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467863977 |
| Entity Type | Organization |
| Organization Name | ICON DENTAL |
| Practice Address |
1425 Market St Ste 100 Denver CO 80202-1708 |
| Practice Telephone | 6418210256 |
| Mailing Telephone | 6418210256 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | NAZELI TARJAN (DENTIST/OWNER) |
| Authorized Official Telephone | 6418210256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9970 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Icon Dental Lab Inc. | 8300 Arington Blvd #g2, Fairfax, Virginia 22031 |
| Street Address |
1425 MARKET ST STE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80202-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162592 | Neda Tarjan | Dentist | 1425 Market St Ste 100, Denver, CO 80202-1822 | 2019-06-07 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
| 1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
| 1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
| 1174149280 | Lakshmi R Reddy | Dentist | 18607 Green Valley Ranch Blvd Unit 104, Denver, CO 80249-8372 | 2020-06-24 |
| 1134754278 | Nadeen Ibrahim | Dentist | 2466 S Colorado Blvd Ste 102, Denver, CO 80222-5931 | 2020-03-09 |
| 1174154397 | Thaddeus J Mcalpin | Dentist | 4422 Iran St, Denver, CO 80249-7304 | 2020-01-27 |
| 1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
| 1679127492 | My Local Colorado Dental Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-30 |
| 1265086920 | My Local Colorado Dental Practice, LLC | Dentist | 7505 E 35th Ave Unit 304, Denver, CO 80238-2460 | 2019-07-30 |
| 1174185854 | Cody Grant Jorgenson | Dentist | 100 Acoma St Ste 2, Denver, CO 80223-1464 | 2019-07-02 |
| 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.