ALTITUDE ORAL AND FACIAL COSMETIC SURGERY LONE TREE, PLLC (NPI# 1770091720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770091720 |
| Entity Type | Organization |
| Organization Name | ALTITUDE ORAL AND FACIAL COSMETIC SURGERY LONE TREE, PLLC |
| Other Organization Name | ROBINSON AND FANGMAN COSMETIC SURGERY |
| Practice Address |
10375 Park Meadows Dr Ste 150 Lone Tree CO 80124-6755 |
| Mailing Address |
3596 Birch Ave Parker CO 80134-9615 |
| Practice Telephone | 3037922828 |
| Mailing Telephone | 6143547468 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | DR. BRAIN J FANGMAN (PRESIDENT CEO) |
| Authorized Official Telephone | 6143547468 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | FANGMAN ORAL AND FACIAL SURGERY PROFESSIONAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
0202239 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 1952791964 | 05 | |
| NY | INDIVIDUAL NPI | 1609027556 | 01 |
| Other Name | Type Code |
|---|---|
| Robinson and Fangman Cosmetic Surgery | Doing Business As Name - Organization |
| Street Address |
10375 PARK MEADOWS DR STE 150 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-6755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1154835528 | Jeffrey W. Stearns, D.m.d., M.d | Clinic/Center | 27 S 18th Ave, Brighton, CO 80601-2401 | 2017-11-21 |
| 1346484193 | Colorado Regional Oral Surgery | Clinic/Center | 8025 Club Crest Drive, Arvada, CO 80005 | 2009-04-23 |
| 1578706651 | Blue River Oral Surgery | Clinic/Center | 975 North Ten Mile Drive, Suite E 11, Frisco, CO 80443-4998 | 2009-04-20 |
| 1447420922 | Bluestein Surgical Arts, PC | Clinic/Center | 864 W South Boulder Rd, Louisville, CO 80027-2410 | 2008-03-11 |
| 1043480452 | Glenwood Oral Surgery, P.C. | Clinic/Center | 406 South Hyland Park Dr, Suite B, Glenwood Springs, CO 81601 | 2008-03-03 |
| 1174702880 | Justin C. Bley D.m.d., P.C. | Clinic/Center | 1707 61st Ave, Suite 102, Greeley, CO 80634-7997 | 2007-10-30 |
| 1336361526 | Day Surgical Arts Frisco | Clinic/Center | 975 N. Ten Mile Drive, E11, Frisco, CO 80443 | 2007-05-03 |
| 1891200309 | Highlands Ranch Oral & Facial Surgery | Clinic/Center | 300 Plaza Dr Ste 175, Highlands Ranch, CO 80129-2335 | 2017-12-06 |
| 1205354388 | Colorado Surgical & Anesthesia Services, PC | Clinic/Center | 6915 Conifer Ct, Niwot, CO 80503-8665 | 2017-09-08 |
| 1891225348 | Colorado Springs Oral Surgery | Clinic/Center | 3100 N Academy Blvd Ste 213, Colorado Springs, CO 80917-5332 | 2017-06-18 |
| Find all providers with the same taxonomy | ||||
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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.