REGENTS OF THE UNIVERSITY OF COLORADO (NPI# 1700257573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700257573 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF COLORADO |
| Other Organization Name | SCHOOL OF DENTAL MEDICINE, FACULTY PRACTICE |
| Practice Address |
13065 E 17th Ave Mail Stop F742 Aurora CO 80045-2532 |
| Mailing Address |
13065 E 17th Ave Aurora CO 80045-2532 |
| Practice Telephone | 3037245509 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |
| Authorized Official Name | MR. BRIAN DAVIS (ASSOCIATE DEAN OF FINANCE ADMINISTR) |
| Authorized Official Telephone | 3037247132 |
| Authorized Official Credential | MBA,MSHA,CMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | DR.0055063 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 09034528 | 05 |
| Other Name | Type Code |
|---|---|
| School of Dental Medicine, Faculty Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134369457 | Regents of The University of Colorado | Clinical Medical Laboratory | 12705 E Montview Blvd, Suite 250, Aurora, CO 80045-7108 | 2009-02-26 |
| 1194921411 | Regents of The University of Colorado | Clinic/Center | 4107b S. Federal Boulevard, Englewood, CO 80110-4316 | 2007-06-24 |
| 1235216532 | Regents of The University of Colorado | Community/Behavioral Health | 3738 W Princeton Cir, Denver, CO 80236-3110 | 2006-11-01 |
| 1588766968 | Regents of The University of Colorado | Pharmacy | 13199 East Montview Boulevard, #100, Aurora, CO 80045 | 2006-09-05 |
| 1295392868 | Regents of The University of Colorado | Social Worker | 4863 N Nevada Ave Ste 321, Colorado Springs, CO 80918-3951 | 2019-05-20 |
| 1902318702 | Regents of The University of Colorado | Durable Medical Equipment & Medical Supplies | 3525 W Oxford Ave Unit G-1, Denver, CO 80236-3112 | 2017-11-02 |
| 1174929939 | Regents of The University of Colorado | Nurse Practitioner | 13120 E 19th Ave, Aurora, CO 80045-2567 | 2014-11-06 |
| 1750657722 | Regents of The University of Colorado | Clinic/Center | 3525 W Oxford Ave, Wing G-3, Denver, CO 80236-3106 | 2012-03-23 |
| 1598981490 | Regents of The University of Colorado | Dentist | 13065 E 17th Pl, Mail Stop F846, Aurora, CO 80045-7238 | 2007-04-18 |
| Street Address |
13065 E 17TH AVE MAIL STOP F742 |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235702 | Douglas C. Wilson | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2005-09-13 |
| 1902418726 | Colleen Gong Leong | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-08-21 |
| 1437767209 | Audrey Riegel | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-07-17 |
| 1912522103 | Jarred M. Hanley | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-06-12 |
| 1306467535 | Brooke Andrea Martinez | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-28 |
| 1093336208 | Tyler Stanley | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-28 |
| 1750900742 | Miranda Olivia Hicks | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-10 |
| 1629697669 | Mark J Greenwald | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-09 |
| 1801425871 | Kasey Jones | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-02 |
| 1962045880 | Kyle Diehl | Dentist | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1952677973 | Colorado Surgical Arts | Oral & Maxillofacial Surgery | 2900 S. Peoria Street, Unit D, Aurora, CO 80014 | 2012-03-23 |
| 1548342629 | Barry S Keogh | Oral & Maxillofacial Surgery | 14991 E Hampden Ave #260, Aurora, CO 80014 | 2006-10-19 |
| 1700388592 | Dental Management Group LLC | Oral & Maxillofacial Surgery | 11246 E Mississippi Ave, Aurora, CO 80012-3202 | 2018-03-07 |
| 1467801738 | University Physicians, Incorporated | Oral & Maxillofacial Surgery | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689916611 | Ben Adam Charles Bailey | Oral & Maxillofacial Surgery | 3691 Parker Blvd Ste 200, Pueblo, CO 81008-2278 | 2013-03-16 |
| 1275831208 | Kamran Dastoury | Oral & Maxillofacial Surgery | 2290 Kipling St Unit 2, Lakewood, CO 80215-1546 | 2011-02-28 |
| 1215190145 | Michael S Kunkel | Oral & Maxillofacial Surgery | 3475 Briargate Blvd, Suite 102, Colorado Springs, CO 80920 | 2008-07-10 |
| 1740494467 | Norman Philip Payea II | Oral & Maxillofacial Surgery | 8805 West Fourteenth Avenue, Suite 316 Lakewood Medical Center, Lakewood, CO 80215-4848 | 2007-05-10 |
| 1902931835 | Steven F. Reck, Dds, PC | Oral & Maxillofacial Surgery | 1201 Paseo Del Norte, Pueblo, CO 81008-2611 | 2007-02-22 |
| 1033204094 | Michael Derrick Moody | Oral & Maxillofacial Surgery | 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581 | 2006-10-04 |
| 1629085196 | Glenn Eric Herrmann | Oral & Maxillofacial Surgery | 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014 | 2006-08-01 |
| 1942292982 | James Michael Mulkey | Oral & Maxillofacial Surgery | 375 E Park Ave, Suite 301, Durango, CO 81301-5012 | 2005-08-16 |
| 1063900231 | Colorado Maxillofacial and Oral Surgeons | Oral & Maxillofacial Surgery | 4105 Briargate Pkwy Ste 240, Colorado Springs, CO 80920-7844 | 2018-04-24 |
| 1497265516 | Just Wisdom Teeth Frederick, LLC | Oral & Maxillofacial Surgery | 4943 Highway 52, 260, Frederick, CO 80514 | 2017-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF COLORADO.
| 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.