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Export Provider Record NPI 1104041326
David Jonas ArchibaldMD
Active
NPI Number1104041326
NPI TypeNPI-1 Individual
SpecialtyOtolaryngology, Facial Plastic Surgery
Provider Details
NPI1104041326
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-04-14
Last Updated2014-12-04
Mailing Address2352 Meadows Blvd, Suite 290
Castle Rock, CO 80109-8406
United States
Phone: (303) 268-2222
📍 View Map
Primary Practice Address2352 Meadows Blvd, Suite 290
Castle Rock, CO 80109-8406
United States
Phone: (303) 268-2222
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL003610900
Other (non-Medicare)FL14F11Blue Cross Blue Shield
MEDICAIDCO32778856
MEDICAIDMN205455000
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Y00000X – OtolaryngologyMN49658
No207Y00000X – OtolaryngologyFLME103522
No207Y00000X – OtolaryngologyWAMD60286714
No207YS0123X – Otolaryngology, Facial Plastic SurgeryWAMD60286714
Yes207YS0123X – Otolaryngology, Facial Plastic SurgeryCODR.0053492
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About NPI 1104041326

David Jonas Archibald MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104041326. The primary specialty listed is Otolaryngology, Facial Plastic Surgery. The provider is located in Castle Rock, CO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-04-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104041326?

NPI 1104041326 belongs to David Jonas Archibald MD, a Otolaryngology, Facial Plastic Surgery in Castle Rock, CO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104041326 active?

The current status of NPI 1104041326 in the NPPES registry is Active. The record was last updated on 2014-12-04.

What specialty is NPI 1104041326?

NPI 1104041326 is classified under the taxonomy Otolaryngology, Facial Plastic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104041326?

You can verify NPI 1104041326 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104041326?

The primary practice address on file for NPI 1104041326 is 2352 Meadows Blvd, Castle Rock, CO 80109-8406. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104041326 issued?

NPI 1104041326 was first issued (enumerated) on 2007-04-14. The NPPES record was last updated on 2014-12-04.

Practice Location Map

David Jonas Archibald is located at 2352 Meadows Blvd, Castle Rock, CO. Use the map below to find directions or verify the practice location.

📍 2352 Meadows Blvd, Castle Rock, CO 80109-8406  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as David Jonas Archibald. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104041326. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Otolaryngology49658MN
OtolaryngologyME103522FL
OtolaryngologyMD60286714WA
Otolaryngology, Facial Plastic SurgeryMD60286714WA
Otolaryngology, Facial Plastic SurgeryDR.0053492CO
Data Verified from CMS NPPES Last synced: 2026-06-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162