Individual provider Active NPI

Laya Bahrani, DDS

  • Dentist
  • Westminster, CO
National Provider Identifier
1164041307
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00204769 Issued in CO
Practice address
8960 Westminster Blvd
Westminster, CO 80031-2870
Phone
(307) 509-5790
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DEN.00204769 CO
Dentist 122300000X 00204769 CO Primary

Addresses

Primary practice location

8960 Westminster Blvd
Westminster, CO 80031-2870

Mailing address

1406 Deerfield CT
Longmont, CO 80504-8738

Other practice location 1

6999 W Alaska Dr
Lakewood, CO 80226-3223
Phone (303) 237-2300

Other names 1

  • Laya Mohamed Al Bahrani Other name

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
00204769COMDDentist
DEN.00204769COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Ridge Dentistry PastSince Sep 28, 2021 Accepting new patients
Shining Stars Kids Dentistry PC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1164041307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 DEERFIELD CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 WESTMINSTER BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312870",
            "telephone_number": "307-509-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6999 W Alaska Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263223",
            "country_code": "US",
            "telephone_number": "303-237-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHRANI",
        "first_name": "LAYA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204769",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00204769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAYA",
            "last_name": "AL BAHRANI",
            "middle_name": "MOHAMED",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.