Individual provider Active NPI

Vakhtang Huhua, DDS

  • Dentist
  • Brighton, CO
National Provider Identifier
1417796301
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205969 Issued in CO
Practice address
1790 E Bridge St
Brighton, CO 80601-1934
Phone
(303) 659-1064
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205969 CO Primary

Addresses

Primary practice location

1790 E Bridge St
Brighton, CO 80601-1934

Mailing address

1880 Arapahoe St Apt 2004
Denver, CO 80202-1856

Other practice location 1

10835 Dover St Ste 1200
Broomfield, CO 80021-5562
Phone (303) 425-6565

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
DEN.00205969COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dural L. Parish DDS PC Dentist Past Accepting new patients
O and a Dental and Braces at Brighton PLLC Dentist PastSince May 26, 2024 Accepting new patients
Open and Affordable Dental Broomfield PLLC Dentist PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 3

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1417796301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ARAPAHOE ST APT 2004",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011934",
            "telephone_number": "303-659-1064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10835 Dover St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800215562",
            "country_code": "US",
            "telephone_number": "303-425-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUHUA",
        "first_name": "VAKHTANG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.