Individual provider Active NPI

Mayya Velitskaya, DMD

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1427756428
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00205918 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4597
Phone
(303) 436-6000
NPI assigned
Feb 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00205918 CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

8155 E Fairmount Dr Unit 626
Denver, CO 80230-6831
Phone (720) 207-8254

Other practice location 1

501 28th St
Denver, CO 80205-3003
Phone (303) 602-6333

Other practice location 2

1100 Federal Blvd
Denver, CO 80204-3219
Phone (303) 436-4200 ext. 20815

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318001781 CO Practitioner - Dentist 6709360746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

601 N Broadway
Mc1926
Denver, CO 80203-3407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205918COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lowry Modern Dentistry, LLP CurrentSince Aug 18, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 9, 2026 Accepting new patients
Denver Health and Hospital Authority CurrentSince Feb 9, 2026 Accepting new patients

Locations

1100 Federal Blvd
Denver, CO 80204
Phone (303) 436-4200

501 28th St
Denver, CO 80205
Phone (303) 436-4600

63 N Quebec St
Ste 102
Denver, CO 80230
Phone (720) 446-2314

777 Bannock St
Denver, CO 80204

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1427756428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 E FAIRMOUNT DR UNIT 626",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306831",
            "telephone_number": "720-207-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 28th St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802053003",
            "country_code": "US",
            "telephone_number": "303-602-6333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Federal Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802043219",
            "country_code": "US",
            "telephone_number": "303-436-4200 x20815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELITSKAYA",
        "first_name": "MAYYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.