NPIMap

Organization Active NPI

Amir Fereydouni, DMD

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1023605102
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMIR FEREYDOUNI, DMD
Practice address
40 W Littleton Blvd Ste 205
Littleton, CO 80120-2400
Phone
(303) 495-2801
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AMIR R FEREYDOUNI DMD PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Authorized official

Name
Amir Fereydouni, DMD
Title
Owner
Phone
(303) 495-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

40 W Littleton Blvd Ste 205
Littleton, CO 80120-2400

Mailing address

40 W Littleton Blvd Ste 205
Littleton, CO 80120-2400
Phone (303) 495-2801

National Provider Directory

National Provider Directory
Tax ID family
Amir Fereydouni DMD4 organizations share this tax ID, including this one
Part of
Amir R Fereydouni DMD Professional Corporation

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1023605102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W LITTLETON BLVD STE 205",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202400",
            "telephone_number": "303-495-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W LITTLETON BLVD STE 205",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202400",
            "telephone_number": "303-495-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR FEREYDOUNI, DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMIR R FEREYDOUNI DMD PROFESSIONAL CORPORATION",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "FEREYDOUNI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-495-2801",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.