Active NPI
Adam Russell Manfredo, D.D.S
- General Practice Dentistry
- Englewood, CO
National Provider Identifier
1457581456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1855230
- Practice address
- 3401 S Broadway Unit 160
Englewood, CO 80113-2526 - Phone
- (303) 444-2884
- NPI assigned
- Jul 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1855230 | MA | Primary |
| General Practice Dentistry | 1223G0001X | DEN.00206320 | CO |
Addresses
Primary practice location
3401 S Broadway Unit 160
Englewood, CO 80113-2526
Mailing address
400 E Fremont PL Unit 402
Centennial, CO 80122-3557
Phone (310) 991-6659
Other practice location 1
13065 E 17th Ave Fl 1
Aurora, CO 80045-2532
Phone (303) 724-6941
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00206320 | CO | MD | General Practice Dentistry |
| DN1855230 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hirshberg Dental Assoc of Boston PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1457581456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E FREMONT PL UNIT 402",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223557",
"telephone_number": "310-991-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 S BROADWAY UNIT 160",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132526",
"telephone_number": "303-444-2884"
}
],
"practiceLocations": [
{
"address_1": "13065 E 17th Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452532",
"country_code": "US",
"telephone_number": "303-724-6941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANFREDO",
"first_name": "ADAM",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-24",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN1855230",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00206320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.