Active NPI
Hossein Borzou Ouranos, DDS
- Dentist
- Evergreen, CO
National Provider Identifier
1043625338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202458
- Practice address
- 1232 Bergen Pkwy
Evergreen, CO 80439 - Phone
- (303) 674-6070
- Fax
- (303) 674-6071
- NPI assigned
- Jun 25, 2014
- Last updated
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12012086A | IN | |
| Dentist | 122300000X | 0190229818 | IL | |
| Dentist | 122300000X | 00202458 | CO | Primary |
Addresses
Primary practice location
1232 Bergen Pkwy
Evergreen, CO 80439
Mailing address
1232 Bergen Pkwy
Evergreen, CO 80439
Phone (303) 674-6070
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007000966 | CO | Order and Referring Only - Oral Surgery | 5597073809 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202458 | CO | MD | Dentist |
| 0190229818 | IL | MD | Dentist |
| 12012086A | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Dental Partners LLP | Dentist | Past | Accepting new patients |
Networks
- CO HMO D-SNP
- CO HMO C-SNP
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1043625338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 BERGEN PKWY",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "303-674-6070",
"fax_number": "303-674-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 BERGEN PKWY",
"city": "EVERGREEN",
"state": "CO",
"postal_code": "80439",
"telephone_number": "303-674-6070",
"fax_number": "303-674-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OURANOS",
"first_name": "HOSSEIN",
"middle_name": "BORZOU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-25",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012086A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "0190229818",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00202458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evergreen, CO
- Mindy A Odgren, RN
- Michelle K Ohde, LCSW
- Open View Counseling, PLLC
- Optumcare Colorado Medical Group LLC (Evergreen Internal and Family Medicine at Arapahoe Peak)
- James Kennedy Orsund, LCSW
- Outdoor Counseling Collective LLC
- P. Jenny Foster, DDS PLLC (Foster Family Dental)
- Lori Ann Pahl, LPC
- Palliative Care Development Associates LLC
- Panorama Orthopedics & Spine Center, PC (Rocky Mountain Spine and Sport)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.