Individual provider Active NPI

Vidhyalakshmi Sampath, B.D.S., D.D.S

  • Dentist
  • Westminster, CO
National Provider Identifier
1225147168
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN 9235 Issued in CO
Practice address
3003 W 104TH Ave Unit 300
Bright Now Dental (Modern Dental Professionals- Co PC)
Westminster, CO 80031-7752
Phone
(303) 410-9800
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 051745-1 NY
Dentist 122300000X DEN 9235 CO Primary

Addresses

Primary practice location

3003 W 104TH Ave Unit 300
Bright Now Dental (Modern Dental Professionals- Co PC)
Westminster, CO 80031-7752

Mailing address

3003 W 104TH Ave Unit 300
Bright Now Dental (Modern Dental Professionals- Co PC)
Westminster, CO 80031-7752
Phone (303) 410-9800

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318000134 CO Order and Referring Only - DentistPractitioner - Dentist 6800100389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN 9235COMDDentist
051745-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dental Professionals Co PC Past Accepting new patients

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1225147168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W 104TH AVE UNIT 300",
            "address_2": "BRIGHT NOW DENTAL (MODERN DENTAL PROFESSIONALS- CO PC)",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317752",
            "telephone_number": "303-410-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W 104TH AVE UNIT 300",
            "address_2": "BRIGHT NOW DENTAL (MODERN DENTAL PROFESSIONALS- CO PC)",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317752",
            "telephone_number": "303-410-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "VIDHYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "B.D.S., D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051745-1",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN 9235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.