Individual provider Active NPI

Naveed Shergill, DDS

  • Dentist
  • Loveland, CO
National Provider Identifier
1073248928
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00205288 Issued in CO
Practice address
1411 Denver Ave
Loveland, CO 80538-5226
Phone
(970) 278-3176
NPI assigned
Jul 22, 2022
Last updated
Sep 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515001428 CO Order and Referring Only - DentistPractitioner - Dentist 1456792936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D011765AZMDDentist
00205288COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Hameed and Co., PLLC General Practice CurrentSince Sep 24, 2023 Accepting new patients
Co Dental PC General Practice CurrentSince Jul 1, 2022 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.

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

Verify at the official NPI Registry.