Active NPI
Iryna Korovyanko, DMD
- General Practice Dentistry
- Brighton, CO
National Provider Identifier
1255955795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 204344
- Practice address
- 2223 Prairie Center Pkwy Unit C
Brighton, CO 80601-7008 - Phone
- (303) 654-3430
- NPI assigned
- Jun 1, 2020
- Last updated
- Jun 1, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 204344 | CO | Primary |
Addresses
Primary practice location
2223 Prairie Center Pkwy Unit C
Brighton, CO 80601-7008
Mailing address
3201 Brighton Blvd Apt 207
Denver, CO 80216-3678
Phone (949) 864-9539
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
| License | State | Type | Specialty |
|---|---|---|---|
| 204344 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1255955795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 BRIGHTON BLVD APT 207",
"city": "DENVER",
"state": "CO",
"postal_code": "802163678",
"telephone_number": "949-864-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 PRAIRIE CENTER PKWY UNIT C",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806017008",
"telephone_number": "303-654-3430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOROVYANKO",
"first_name": "IRYNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "204344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.