Individual provider Active NPI

Behrod Khankhanian, DMD

  • Dentist
  • Highlands Ranch, CO
National Provider Identifier
1013332063
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204101 Issued in CO
Practice address
9643 Burberry Way
Highlands Ranch, CO 80129-6254
Phone
(720) 233-6812
NPI assigned
Feb 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63223 CA
Dentist 122300000X DEN.00204101 CO Primary

Addresses

Primary practice location

9643 Burberry Way
Highlands Ranch, CO 80129-6254

Mailing address

9643 Burberry Way
Highlands Ranch, CO 80129-6254
Phone (720) 233-6812

Other practice location 1

9146 Sepulveda Blvd
North Hills, CA 91343-6948
Phone (818) 830-7000

Other practice location 2

1701 E 31st Ave
Denver, CO 80205-4503
Phone (720) 233-6812

Other practice location 3

7500 E Arapahoe Rd Ste 202
Centennial, CO 80112-1277
Phone (303) 495-3443

Other practice location 4

7015 W 38th Ave
Denver, CO 80033-4876
Phone (303) 940-9755

Other practice location 5

6650 S Vine St Ste L-20
Centennial, CO 80121-2773
Phone (303) 795-7674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019003425 CO Order and Referring Only - DentistPractitioner - Dentist 0042666505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63223CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Annette M Alford, DMD PC CurrentSince Oct 1, 2022 Accepting new patients
Dr. Behrod Khankhanian DMD, a Dental Corporation CurrentSince Jan 1, 2020 Accepting new patients
Aa Emergency Dental PastSince Feb 1, 2020 Accepting new patients

Locations

6650 S Vine St
Ste L-20
Centennial, CO 80121
Phone (303) 794-1204

7500 E Arapahoe Rd
Ste 202
Centennial, CO 80112
Phone (303) 495-3443

1701 E 31st Ave
Denver, CO 80205
Phone (720) 233-6812

Networks

  • NM HMO C-SNP
  • CO HMO D-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1013332063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9643 BURBERRY WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296254",
            "telephone_number": "720-233-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9643 BURBERRY WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801296254",
            "telephone_number": "720-233-6812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9146 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913436948",
            "country_code": "US",
            "telephone_number": "818-830-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 E 31st Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802054503",
            "country_code": "US",
            "telephone_number": "720-233-6812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 E Arapahoe Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801121277",
            "country_code": "US",
            "telephone_number": "303-495-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7015 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "800334876",
            "country_code": "US",
            "telephone_number": "303-940-9755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6650 S Vine St Ste L-20",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801212773",
            "country_code": "US",
            "telephone_number": "303-795-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANKHANIAN",
        "first_name": "BEHROD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63223",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.