Individual provider Active NPI

Nicole Kikue Furuta, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1245368596
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
54716 Issued in CA
Practice address
1435 Wazee St Ste 102
Denver, CO 80202-1491
Phone
(303) 623-5636
Fax
(303) 623-5640
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54716 CA Primary

Addresses

Primary practice location

1435 Wazee St Ste 102
Denver, CO 80202-1491

Mailing address

1435 Wazee St Ste 102
Denver, CO 80202-1491
Phone (303) 623-5636

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
54716CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lodo Dental PC CurrentSince Apr 30, 2023 Accepting new patients

Locations

1435 Wazee St
Ste 102
Denver, CO 80202
Phone (303) 623-5636

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1245368596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WAZEE ST STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021491",
            "telephone_number": "303-623-5636",
            "fax_number": "303-623-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 WAZEE ST STE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021491",
            "telephone_number": "303-623-5636",
            "fax_number": "303-623-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURUTA",
        "first_name": "NICOLE",
        "middle_name": "KIKUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54716",
            "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 Apr 28, 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.