Individual provider Active NPI

Thamizhvani Sathyamoorthy, DDS

  • Dentist
  • Highlands Ranch, CO
National Provider Identifier
1255096970
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN00204857 Issued in CO
Practice address
6674 Green River Dr Unit H
Highlands Ranch, CO 80130-3001
Phone
(720) 520-2957
NPI assigned
Nov 8, 2021
Last updated
Apr 28, 2023By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN00204857 CO Primary
General Practice Dentistry 1223G0001X 38001 TX

Addresses

Primary practice location

6674 Green River Dr Unit H
Highlands Ranch, CO 80130-3001

Mailing address

6674 Green River Dr Unit H
Highlands Ranch, CO 80130-3001
Phone (729) 520-2957

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
DEN00204857COMDDentist
38001TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1255096970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 GREEN RIVER DR UNIT H",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303001",
            "telephone_number": "729-520-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 GREEN RIVER DR UNIT H",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303001",
            "telephone_number": "720-520-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHYAMOORTHY",
        "first_name": "THAMIZHVANI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN00204857",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38001",
            "primary": false
        }
    ],
    "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 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.