Individual provider Active NPI

Chantal Dengah, CNM

  • Advanced Practice Midwife
  • Aurora, CO
National Provider Identifier
1184274011
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APN.0997274-CNM Issued in CO
Practice address
3292 Peoria St
Aurora, CO 80010-1517
Phone
(303) 360-6276
NPI assigned
Sep 12, 2019
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APN.0997274-CNM CO Primary
Home Health Registered Nurse 163WH0200X 1662332 CO

Addresses

Primary practice location

3292 Peoria St
Aurora, CO 80010-1517

Mailing address

2255 S Oneida St
Denver, CO 80224-2522
Phone (303) 360-6276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119001121 CO Practitioner - Certified Nurse Midwife (CNM) 3274904834 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1662332COMDHome Health Registered Nurse
APN.0997274-CNMCOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network Inc CurrentSince Nov 21, 2022 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Nov 21, 2022 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Metro Community Provider Network Inc Past Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1184274011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S ONEIDA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242522",
            "telephone_number": "303-360-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101517",
            "telephone_number": "303-360-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENGAH",
        "first_name": "CHANTAL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0997274-CNM",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CO",
            "license": "1662332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.