Ava Beheshteh Khodakhast, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00203770 Issued in CO

Practice address

8120 S Holly St Ste 208
Centennial, CO 80122-4007

Phone

(720) 573-2454

Fax

(303) 770-2285

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Perfect Teeth - Speer P.C.

  • General Practice Dentistry
  • Denver, CO
  • NPI 1386765774
  NPD (past)
• Timothy P Masterson DDS, PC

  • General Practice Dentistry
  • Littleton, CO
  • NPI 1538266754
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1457783318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST #208",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "303-770-2254",
            "fax_number": "303-770-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 S HOLLY ST STE 208",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224007",
            "telephone_number": "720-573-2454",
            "fax_number": "303-770-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODAKHAST",
        "first_name": "AVA",
        "middle_name": "BEHESHTEH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin K Oneill DDS PC
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• Amel Khalife, MS, BCBA, LBA
• Lisa Michelle Khan, PT
• Yousaf Khan
• Kid Physical LLC
• Kids Mobility Network, Inc.
• Shelby Burnette Kiernan, LMFT
• Boyun Kim, ACUPUNCTURIST
• Geoffrey Kim

• Dentist in Centennial, CO
• Providers in Centennial, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.