Andrea Lynn Makolondra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00202000 Issued in CO

Practice address

1225 35TH St
Denver, CO 80205-2404

Phone

(720) 440-7743

NPI assigned

Jun 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Paloma Dental, PLLC

  dba Paloma Dental

  • Dentist
  • Denver, CO
  • NPI 1306507736
  NPD
• Paloma Dental

  • General Practice Dentistry
  • Denver, CO
  • NPI 1710474374
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1073876108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 E VIRGINIA AVE",
            "address_2": "BSMT 100",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461516",
            "telephone_number": "303-388-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 35TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052404",
            "telephone_number": "720-440-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOLONDRA",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19706",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makassi Home Care LLC
• Barry Make, MD
• Anton Makhiboroda
• Emma Jean Maki-Gianani, R.N.
• Yukiko Makihara, PT
• Maria Daria Makolondra
• Milkyas Makonnen
• Noah J Makovsky, MD
• James Wayne Makowski, DDS
• Mark Owen Makowski, PT

• General Practice Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.