Individual provider Active NPI

Mario Roberto Silva, DDS

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1104663020
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN00205521 Issued in CO
Practice address
11027 S Pikes Peak Dr Ste 105
Parker, CO 80138-7361
Phone
(303) 699-6100
NPI assigned
Jul 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN00205521 CO Primary

Addresses

Primary practice location

11027 S Pikes Peak Dr Ste 105
Parker, CO 80138-7361

Mailing address

11027 S Pikes Peak Dr Ste 105
Parker, CO 80138-7361
Phone (303) 699-6100

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
DEN00205521COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Av8R & NP PLLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

11027 S Pikes Peak Dr
Ste 105
Parker, CO 80138
Phone (303) 351-2202

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1104663020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11027 S PIKES PEAK DR STE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387361",
            "telephone_number": "303-699-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 S PIKES PEAK DR STE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387361",
            "telephone_number": "303-699-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MARIO",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00205521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.