Healthcare Provider Details

I. General information

NPI: 1487875019
Provider Name (Legal Business Name): ALVARO FELIPE OCHOA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 MERCANTILE ST STE 201
CASTLE ROCK CO
80109-3777
US

IV. Provider business mailing address

2240 MERCANTILE ST STE 201
CASTLE ROCK CO
80109-3777
US

V. Phone/Fax

Practice location:
  • Phone: 303-123-4567
  • Fax:
Mailing address:
  • Phone: 303-223-7885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number201969
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number55146
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: