Active NPI
Ashwini Shivashankarappa, DDS
- Dentist
- Louisville, CO
National Provider Identifier
1083955512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00201938
- Practice address
- 877 E South Boulder Rd
Louisville, CO 80027-1345 - Phone
- (720) 476-5504
- Fax
- (303) 200-7375
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00201938 | CO | Primary |
Addresses
Primary practice location
877 E South Boulder Rd
Louisville, CO 80027-1345
Mailing address
877 E South Boulder Rd
Louisville, CO 80027-1345
Phone (720) 476-5504
Other practice location 1
1715 Princess Dr
Longmont, CO 80501-2039
Phone (303) 682-2619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00201938 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Aid, Inc | Past | Accepting new patients | |
| Americas Children Dental Clinic | Past | Accepting new patients | |
| Dental Aid, Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Denver, CO
- NPI 1720247695
-
- General Practice Dentistry
- Louisville, CO
- NPI 1568473858
-
- General Practice Dentistry
- Longmont, CO
- NPI 1578169553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1083955512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 E SOUTH BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271345",
"telephone_number": "720-476-5504",
"fax_number": "303-200-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 E SOUTH BOULDER RD",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271345",
"telephone_number": "720-476-5504",
"fax_number": "303-200-7375"
}
],
"practiceLocations": [
{
"address_1": "1715 Princess Dr",
"address_purpose": "LOCATION",
"city": "Longmont",
"state": "CO",
"postal_code": "805012039",
"country_code": "US",
"telephone_number": "303-682-2619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIVASHANKARAPPA",
"first_name": "ASHWINI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00201938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.