Individual provider Active NPI

Anne Egbune

  • Dentist
  • Commerce City, CO
National Provider Identifier
1386337251
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00205619 Issued in CO
Practice address
6255 Quebec Pkwy
Commerce City, CO 80022-4812
Phone
(303) 697-2583
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 00205619 CO Primary

Addresses

Primary practice location

6255 Quebec Pkwy
Commerce City, CO 80022-4812

Mailing address

6255 Quebec Pkwy
Commerce City, CO 80022-4812
Phone (303) 697-2583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002543 NM Order and Referring Only - DentistPractitioner - Dentist 8123565231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00205619COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1386337251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 QUEBEC PKWY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224812",
            "telephone_number": "303-697-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 QUEBEC PKWY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224812",
            "telephone_number": "303-697-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBUNE",
        "first_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

Verify at the official NPI Registry.