Organization Active NPI

Kazemi Dental PLLC

  • Dental Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1124517826
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
00202785 Issued in CO
Legal business name
KAZEMI DENTAL PLLC
Practice address
5010 El Camino Dr Ste a
Colorado Springs, CO 80918-2130
Phone
(303) 669-8908
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Dr. Mehron Kazemi, DDSNPI 1699150219
Title
Dentist/Owner
Phone
(303) 669-8908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 00202785 CO Primary

Addresses

Primary practice location

5010 El Camino Dr Ste a
Colorado Springs, CO 80918-2130

Mailing address

5010 El Camino Dr Ste a
Colorado Springs, CO 80918-2130

Other names 1

  • Family Dentistry of Colorado Springs Doing business as

National Provider Directory

National Provider Directory

Locations

5010 El Camino Dr
Ste A
Colorado Springs, CO 80918
Phone (303) 669-8908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1124517826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 EL CAMINO DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 EL CAMINO DR STE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182130",
            "telephone_number": "303-669-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAZEMI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "MEHRON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-669-8908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "00202785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Colorado Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.