COLORADO FACIAL PLASTIC SURGERY CENTER INC
NPI 1114068376
Specialist in Englewood, CO

Active since February 09, 2007
3600 S LOGAN ST, SUITE 100, ENGLEWOOD, CO 80113(303) 839-7980(303) 839-7936 Get Directions Write a Review

NPPES record last updated: March 1, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Colorado Facial Plastic Surgery Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO FACIAL PLASTIC SURGERY CENTER INC (NPI 1114068376) is a healthcare organization registered as a specialist in Englewood, Colorado and active in the NPI registry since February 2007. The organization lists Mario J Imola, Owner, as its authorized official.

NPPES Registry Identity

NPI1114068376
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOLORADO FACIAL PLASTIC SURGERY CENTER INC
Location Address3600 S LOGAN ST, SUITE 100Englewood, CO 80113-3766
Mailing Address3600 S Logan St, Suite 100Englewood, CO 80113-3766 · (303) 839-7980 · Fax (303) 839-7936
Fax(303) 839-7936
Organization SubpartNo
Authorized OfficialMario J ImolaOwner · (303) 839-7980
Enumeration DateFebruary 9, 2007
Last NPPES UpdateMarch 1, 2016
NPI 1114068376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CO · 38335
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3600 S LOGAN ST, Englewood, CO 80113

Other Identifiers 4

OtherIM642698CO · Bcbs
Medicaid08671281CO
Medicare PINC37821CO
Medicare UPING11247CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology (Facial Plastic Surgery)
3600 S LOGAN ST, SUITE 100
ENGLEWOOD, CO 80113
Pathology (Clinical Pathology/Laboratory Medicine)
3600 S LOGAN ST, SUITE 110
ENGLEWOOD, CO 80113
Naturopath
3600 S LOGAN ST
ENGLEWOOD, CO 80113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colorado Facial Plastic Surgery Center Inc's NPI number?

The NPI number for Colorado Facial Plastic Surgery Center Inc is 1114068376. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Colorado Facial Plastic Surgery Center Inc located?

Colorado Facial Plastic Surgery Center Inc is located at 3600 S Logan St Suite 100, Englewood, CO 80113. The listed phone number is (303) 839-7980.

What is Colorado Facial Plastic Surgery Center Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Colorado Facial Plastic Surgery Center Inc was last updated on March 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.