Organization
FANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC
Active
Organization
FANGMAN & IVEY ORAL AND FACIAL SURGERY PLLC
Active
Other names
Altitude Oral and Facial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOHN FANGMAN DDS (PRESIDENT/CEO)
(720) 328-4990
Entity
Organization
Contact information
Practice address
5600 W 44TH AVE STE 100, DENVER, CO 80212-7339
(720) 328-4990
(720) 328-4994
Mailing address
5600 W 44TH AVE STE 100, DENVER, CO 80212-7339
(720) 328-4990
(720) 328-4994
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013358985
INDIVIDUAL NPI
TX
01
—
1609027556
INDIVIDUAL NPI
NY
05
—
1952791964
—
CO
Enumeration date
12/18/2020
Last updated
12/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up