Active NPI
Shivana Devi Umadas
- Dentist
- Denver, CO
National Provider Identifier
1407276926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202495
- Practice address
- 3380 W 38TH Ave
Denver, CO 80211-1910 - Phone
- (303) 458-1361
- Fax
- (303) 458-1363
- NPI assigned
- Apr 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 00202495 | CO | Primary |
Addresses
Primary practice location
3380 W 38TH Ave
Denver, CO 80211-1910
Mailing address
3380 W 38TH Ave
Denver, CO 80211-1910
Phone (303) 458-1361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20161021001259 | CO | Order and Referring Only - Dentist | 1850679036 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202495 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Dentists, LLP | Past | 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": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1407276926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 W 38TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802111910",
"telephone_number": "303-458-1361",
"fax_number": "303-458-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 W 38TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802111910",
"telephone_number": "303-458-1361",
"fax_number": "303-458-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMADAS",
"first_name": "SHIVANA",
"middle_name": "DEVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2016-08-24",
"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": "00202495",
"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 24, 2016; 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.