Active NPI
Kaysha Sadek
- Dentist
- Highlands Ranch, CO
National Provider Identifier
1255023453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00205576
- Practice address
- 1165 SGT Jon Stiles Dr
Highlands Ranch, CO 80129-2246 - Phone
- (303) 791-3209
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00205576 | CO | Primary |
Addresses
Primary practice location
1165 SGT Jon Stiles Dr
Highlands Ranch, CO 80129-2246
Mailing address
7309 W Hampden Ave Apt 4704
Lakewood, CO 80227-5113
Phone (701) 552-2550
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231020000257 | CO | Order and Referring Only - Dentist | 4385090851 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205576 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redstone Dental Group, LLP | 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.
-
- General Practice Dentistry
- Highlands Ranch, CO
- NPI 1841514387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1255023453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7309 W HAMPDEN AVE APT 4704",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802275113",
"telephone_number": "701-552-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 SGT JON STILES DR",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801292246",
"telephone_number": "303-791-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADEK",
"first_name": "KAYSHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00205576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.