Jyothi G Kudasomannavar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00202795 Issued in CO

Practice address

10371 Parkglenn Way Ste 250
Parker, CO 80138-3871

Phone

(303) 840-1900

NPI assigned

Jun 20, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hypnos LLC

  • Durable Medical Equipment & Medical Supplies
  • Parker, CO
  • NPI 1154900157
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1437412988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20293 E BELLEVIEW PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800155226",
            "telephone_number": "614-519-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 PARKGLENN WAY STE 250",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383871",
            "telephone_number": "303-840-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDASOMANNAVAR",
        "first_name": "JYOTHI",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2023-06-26",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023776",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066756",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James A Kroner, RPH
• Lia M Kroner, BS
• Nathan Krumsieg, MA, LPCC
• Ellen Stearns Kruse, LPC
• Margie W Kubowicz
• Christopher Jose Kuehl
• Ellyn Kuehne, AU.D
• Paul Walter Kulpan, D.C.
• Brett A Kummer, PT
• Kevin Kumrow, DVM

• General Practice Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.

Verify at the official NPI Registry.