Active NPI
Naveed Shergill, DDS
- Dentist
- Loveland, CO
National Provider Identifier
1073248928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00205288
- Practice address
- 1411 Denver Ave
Loveland, CO 80538-5226 - Phone
- (970) 278-3176
- NPI assigned
- Jul 22, 2022
- Last updated
- Sep 4, 2023
- 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 | D011765 | AZ | |
| Dentist | 122300000X | 00205288 | CO | Primary |
| General Practice Dentistry | 1223G0001X | 00205288 | CO |
Addresses
Primary practice location
1411 Denver Ave
Loveland, CO 80538-5226
Mailing address
330 E Foothills Pkwy Apt 306
Fort Collins, CO 80525-3857
Phone (707) 567-3770
Other practice location 1
6303 E Broadway Blvd
Tucson, AZ 85710-3546
Phone (520) 276-1654
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 |
|---|---|---|---|---|
| I20240515001428 | CO | Order and Referring Only - Dentist | 1456792936 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011765 | AZ | MD | Dentist |
| 00205288 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmed Hameed and Co., PLLC | General Practice | Current | Accepting new patients |
| Co Dental PC | General Practice | Current | Accepting new patients |
Locations
1411 Denver Ave
Loveland, CO 80538
Phone (970) 278-3176
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Loveland, CO
- NPI 1427836360
-
- General Practice Dentistry
- Loveland, CO
- NPI 1740855477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1073248928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E FOOTHILLS PKWY APT 306",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253857",
"telephone_number": "707-567-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 DENVER AVE",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805385226",
"telephone_number": "970-278-3176"
}
],
"practiceLocations": [
{
"address_1": "6303 E Broadway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857103546",
"country_code": "US",
"telephone_number": "520-276-1654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERGILL",
"first_name": "NAVEED",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-22",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011765",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00205288",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "00205288",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.