NPIMap

Organization Active NPI

Amir R Fereydouni DMD Professional Corporation

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1043368343
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8495 Issued in CO
Legal business name
AMIR R FEREYDOUNI DMD PROFESSIONAL CORPORATION
Practice address
8199 Southpark LN
Suite #150
Littleton, CO 80120-5667
Phone
(303) 738-8828
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Megan Shaffer
Title
Office Manager
Phone
(303) 738-8828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8495 CO Primary

Addresses

Primary practice location

8199 Southpark LN
Suite #150
Littleton, CO 80120-5667

Mailing address

8199 Southpark LN
Suite #150
Littleton, CO 80120-5667

Other identifiers 1

IdentifierTypeStateIssuer
90323840MedicaidCO

Other names 1

  • Kids & Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1043368343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 SOUTHPARK LN",
            "address_2": "SUITE #150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 SOUTHPARK LN",
            "address_2": "SUITE #150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205667",
            "telephone_number": "303-738-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR R FEREYDOUNI DMD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-738-8828"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90323840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 27, 2008; 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.