Individual provider Active NPI

Adam Russell Manfredo, D.D.S

  • General Practice Dentistry
  • Englewood, CO
National Provider Identifier
1457581456
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855230 Issued in MA
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

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN.00206320COMDGeneral Practice Dentistry
DN1855230MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.