Individual provider Active NPI

Larisa Khmil, DDS

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1376782102
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9829 Issued in CO
Practice address
14591 E Alameda Ave
Aurora, CO 80012-2601
Phone
(303) 343-7072
NPI assigned
Feb 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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 9829 CO Primary

Addresses

Primary practice location

14591 E Alameda Ave
Aurora, CO 80012-2601

Mailing address

14591 E Alameda Ave
Aurora, CO 80012-2601
Phone (303) 343-7072

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
9829COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Khmil Partners, PLLC General Practice Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1376782102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 E ALAMEDA AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122601",
            "telephone_number": "303-343-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 E ALAMEDA AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122601",
            "telephone_number": "303-343-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHMIL",
        "first_name": "LARISA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9829",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 19, 2016; 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.