Organization Active NPI

Isra Ahmed DDS PLLC

Doing business as Parker Dental Implant and Specialty Center

  • Prosthodontics
  • Parker, CO
National Provider Identifier
1013504927
Registry record updated Dec 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
ISRA AHMED DDS PLLC
Doing business as
Parker Dental Implant and Specialty Center
Practice address
11005 S Parker Rd
Parker, CO 80134-7441
Phone
(720) 522-2000
NPI assigned
Dec 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2020

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

Authorized official

Name
Ron Bergloff
Title
Admin
Phone
(720) 431-6060

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

11005 S Parker Rd
Parker, CO 80134-7441

Mailing address

11005 S Parker Rd
Parker, CO 80134-7441
Phone (720) 522-2000

Other names 1

  • Parker Dental Implant and Specialty Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1013504927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347441",
            "telephone_number": "720-522-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 S PARKER RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347441",
            "telephone_number": "720-522-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRA AHMED DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "BERGLOFF",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "720-431-6060"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Dental Implant and Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.