Individual provider Active NPI

Kazhall Talebpour, DDS

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1295250231
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00203284 Issued in CO
Practice address
10650 Garden Dr Ste Unit106
Aurora, CO 80012-7018
Phone
(303) 366-5100
NPI assigned
Aug 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00203284 CO Primary

Addresses

Primary practice location

10650 Garden Dr Ste Unit106
Aurora, CO 80012-7018

Mailing address

10650 Garden Dr Unit 106
Aurora, CO 80012-7019
Phone (646) 749-8058

Other practice location 1

14401 E Bayaud Ave Unit H
Aurora, CO 80012-1416
Phone (303) 364-4455

Other identifiers 1

IdentifierTypeStateIssuer
DEN.00203284OtherCOCOLORADO DEPARTMENT OF REGULATORY AGENCIES

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
00203284COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
City Place Modern Dentistry, LLP General Practice Past Accepting new patients
Aurora Modern Dentistry, LLP General Practice Past Accepting new patients

Organizations & group practices 2

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": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295250231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 GARDEN DR UNIT 106",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800127019",
            "telephone_number": "646-749-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 GARDEN DR STE UNIT106",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800127018",
            "telephone_number": "303-366-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14401 E Bayaud Ave Unit H",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800121416",
            "country_code": "US",
            "telephone_number": "303-364-4455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALEBPOUR",
        "first_name": "KAZHALL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES",
            "identifier": "DEN.00203284",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.