Individual provider Active NPI

Tricia Ann Doukas, D.D.S.

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1215219472
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
201824 Issued in CO
Practice address
10101 E Hampden Ave Ste 100
Denver, CO 80231-4948
Phone
(303) 671-0101
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60589 CA
General Practice Dentistry 1223G0001X 201824 CO Primary

Addresses

Primary practice location

10101 E Hampden Ave Ste 100
Denver, CO 80231-4948

Mailing address

10101 E Hampden Ave Ste 100
Denver, CO 80231-4948
Phone (303) 671-0101

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
60589CAMDGeneral Practice Dentistry
201824COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1215219472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 E HAMPDEN AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314948",
            "telephone_number": "303-671-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 E HAMPDEN AVE STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314948",
            "telephone_number": "303-671-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUKAS",
        "first_name": "TRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60589",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201824",
            "primary": true
        }
    ],
    "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 Sep 25, 2012; 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.