COLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC
NPI 1336914282
Clinic/Center - Oral and Maxillofacial Surgery in Lone Tree, CO

Q: What is Colorado Oral And Facial Cosmetic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since November 21, 2023

10535 PARK MEADOWS BLVD STE 250, LONE TREE, CO 80124(303) 381-7101(303) 381-7101 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Colorado Oral And Facial Cosmetic Surgery, Pllc NPPES

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

COLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC (NPI 1336914282) is a healthcare organization registered as an oral and maxillofacial surgery in Lone Tree, Colorado and active in the NPI registry since November 2023. The organization lists Kayvan Fathimani, Owner, as its authorized official.

NPPES Registry Identity

NPI1336914282

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameCOLORADO ORAL AND FACIAL COSMETIC SURGERY, PLLC

Location Address10535 PARK MEADOWS BLVD STE 250Lone Tree, CO 80124-8401

Mailing Address10535 Park Meadows Blvd Ste 250Lone Tree, CO 80124-8401 · (303) 381-7101

Phone(303) 381-7101

Fax(303) 381-7101

Organization SubpartNo

Authorized OfficialKayvan FathimaniOwner · (303) 381-7101

Enumeration DateNovember 21, 2023

NPPES CertifiedNovember 21, 2023

✔ NPI 1336914282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

Definition

An oral and maxillofacial surgery clinic or center specialized in 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.

10535 PARK MEADOWS BLVD STE 250, Lone Tree, CO 80124

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colorado Oral And Facial Cosmetic Surgery, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colorado Oral And Facial Cosmetic Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kayvan Fathimani, D.D.S.

Oral Surgery

NPI 1396040127

10535 PARK MEADOWS BLVD STE 250
Lone Tree, CO 80124

(303) 381-7101

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oral And Facial Cosmetic Surgery, PLLC's NPI number?

The NPI number for Colorado Oral And Facial Cosmetic Surgery, PLLC is 1336914282. It was assigned to this organization in the NPPES registry on November 21, 2023.

Where is Colorado Oral And Facial Cosmetic Surgery, PLLC located?

Colorado Oral And Facial Cosmetic Surgery, PLLC is located at 10535 Park Meadows Blvd Ste 250, Lone Tree, CO 80124. The listed phone number is (303) 381-7101.

What is Colorado Oral And Facial Cosmetic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Colorado Oral And Facial Cosmetic Surgery, PLLC enrolled in Medicare?

Yes. Colorado Oral And Facial Cosmetic Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Oral And Facial Cosmetic Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Colorado Oral And Facial Cosmetic Surgery, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado Oral And Facial Cosmetic Surgery, PLLC was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.