Individual provider Active NPI

Christopher Mehlhoff

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1043369671
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8740 Issued in CO
Practice address
6169 S Balsam Way
Suite 330
Littleton, CO 80123-3062
Phone
(303) 933-8230
Fax
(303) 933-8232
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8740 CO Primary

Addresses

Primary practice location

6169 S Balsam Way
Suite 330
Littleton, CO 80123-3062

Mailing address

6169 S Balsam Way
Suite 330
Littleton, CO 80123-3062
Phone (303) 933-8230

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
I20160617000569 CO Order and Referring Only - DentistPractitioner - Dentist 5890086052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8740COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rocks Family Dentistry Past Accepting new patients

Organizations & group practices 1

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1043369671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY",
            "address_2": "SUITE 330",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233062",
            "telephone_number": "303-933-8230",
            "fax_number": "303-933-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S BALSAM WAY",
            "address_2": "SUITE 330",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233062",
            "telephone_number": "303-933-8230",
            "fax_number": "303-933-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLHOFF",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.