Active NPI
Ana Elashvili Evans, D.D.S., M.S.
- Dentist
- Aurora, CO
National Provider Identifier
1417279134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 501
- Practice address
- 13065 E 17TH Ave
Mail Stop F 742
Aurora, CO 80045-2532 - Phone
- (303) 724-5505
- Fax
- (303) 724-5456
- NPI assigned
- Feb 22, 2010
- 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 | 501 | CO | Primary |
Addresses
Primary practice location
13065 E 17TH Ave
Mail Stop F 742
Aurora, CO 80045-2532
Mailing address
624 S Gilpin St
Denver, CO 80209-4512
Phone (720) 255-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2021 through Feb 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1417279134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 S GILPIN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802094512",
"telephone_number": "720-255-7047",
"fax_number": "303-724-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13065 E 17TH AVE",
"address_2": "MAIL STOP F 742",
"city": "AURORA",
"state": "CO",
"postal_code": "800452532",
"telephone_number": "303-724-5505",
"fax_number": "303-724-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ANA",
"middle_name": "ELASHVILI",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "501",
"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 Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.