Individual provider Active NPI

Kamyab Mohager, DDS

  • General Practice Dentistry
  • Littleton, CO
National Provider Identifier
1336688704
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203469 Issued in CO
Practice address
1501 W Mineral Ave Ste 250
Littleton, CO 80120-5612
Phone
(720) 800-7077
NPI assigned
Feb 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS102765 CA
General Practice Dentistry 1223G0001X DEN.00203469 CO Primary

Addresses

Primary practice location

1501 W Mineral Ave Ste 250
Littleton, CO 80120-5612

Mailing address

1501 W Mineral Ave Ste 250
Littleton, CO 80120-5612
Phone (720) 800-7077

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
DDS102765CAMDDentist
DEN.00203469COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Thanh to Dental Corporation General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kanyab.mohagerdds.p1@direct.jwch.nextgenshare.com

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": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1336688704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205612",
            "telephone_number": "720-800-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W MINERAL AVE STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205612",
            "telephone_number": "720-800-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAGER",
        "first_name": "KAMYAB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-18",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS102765",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.