Active NPI
Atousa Bashardoost Safavi, DDS
- Dentist
- Denver, CO
National Provider Identifier
1407236631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00202760
- Practice address
- 2101 S Clermont St
Denver, CO 80222-5006 - Phone
- (303) 691-3333
- NPI assigned
- Jun 3, 2015
- Last updated
- Aug 29, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00202760 | CO | Primary |
Addresses
Primary practice location
2101 S Clermont St
Denver, CO 80222-5006
Mailing address
2101 S Clermont St
Denver, CO 80222-5006
Phone (303) 691-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150914002691 | NC | Order and Referring Only - Dentist | 3870800436 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202760 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abs Dentistry PLLC | Current | Accepting new patients |
Locations
2101 S Clermont St
Denver, CO 80222
Phone (303) 691-3333
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1407236631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 S CLERMONT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802225006",
"telephone_number": "303-691-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 S CLERMONT ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802225006",
"telephone_number": "303-691-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAVI",
"first_name": "ATOUSA",
"middle_name": "BASHARDOOST",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00202760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.