Organization Active NPI

Sheridan Dental, PC

  • General Practice Dentistry
  • Wheat Ridge, CO
National Provider Identifier
1437481959
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHERIDAN DENTAL, PC
Practice address
5375 W 38TH Ave
Wheat Ridge, CO 80212-7058
Phone
(303) 476-6292
NPI assigned
Feb 9, 2010
Last updated
Feb 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Davood Manshadi, DDS
Title
Dentist
Phone
(720) 470-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5375 W 38TH Ave
Wheat Ridge, CO 80212-7058

Mailing address

19266 E Fair Dr
Aurora, CO 80016-3851
Phone (720) 470-4291

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1437481959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19266 E FAIR DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800163851",
            "telephone_number": "720-470-4291",
            "fax_number": "303-766-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "802127058",
            "telephone_number": "303-476-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "MANSHADI",
        "authorized_official_first_name": "DAVOOD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-470-4291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.