Individual provider Active NPI

Olga Kvitkina, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1104424670
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204985 Issued in CO
Practice address
3600 Quebec St FL 2
Denver, CO 80207-1609
Phone
(303) 355-1818
Fax
(303) 835-3224
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00204985 CO Primary
General Practice Dentistry 1223G0001X DEN.00204985 CO

Addresses

Primary practice location

3600 Quebec St FL 2
Denver, CO 80207-1609

Mailing address

10004 S Memorial Dr
Tulsa, OK 74133-6103
Phone (918) 505-9237

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

LicenseStateTypeSpecialty
DEN.00204985COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kor Dentistry PLLC Current Accepting new patients

Locations

3600 Quebec St
Fl 2
Denver, CO 80207
Phone (303) 355-1818

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1104424670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336103",
            "telephone_number": "918-505-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 QUEBEC ST FL 2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071609",
            "telephone_number": "303-355-1818",
            "fax_number": "303-835-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVITKINA",
        "first_name": "OLGA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204985",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.