NPI 1811003759 · Maxillofacial Surgery · Anthem
Active in carrier directories but no matching Colorado DORA license record found.
NPPES
CENTENNIAL, 80112
Freshness: Unknown
Network Status
Listed with 1 carrier
DORA License
No license data
Medicare
107 services
57 beneficiaries
$9,340.17 total payment
Specialty: Maxillofacial Surgery
Care Compare
No Care Compare data
PECOS Enrollment
Medicare enrolled
Order/Referring eligible: Yes
Active NPI with specialty classification
No DORA license data found
Active Medicare billing confirmed
Single address source (NPPES)
Weak network corroboration
1 network across 1 carrier
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.