Individual provider Active NPI

Davood Manshadi, DDS

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1477589604
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8151 Issued in CO
Practice address
15159 East Colfax Ave.
#B
Aurora, CO 80011
Phone
(303) 341-5437
Fax
(303) 341-5447
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8151 CO Primary

Addresses

Primary practice location

15159 East Colfax Ave.
#B
Aurora, CO 80011

Mailing address

16107 E Nassau Dr
Aurora, CO 80013-2725
Phone (720) 840-8106

Other identifiers 2

IdentifierTypeStateIssuer
1750783OtherUNITED CONCORDIA ID #
14557886MedicaidCO

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monaco and Evans Dental, P.C. General Practice Current 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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477589604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16107 E NASSAU DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800132725",
            "telephone_number": "720-840-8106",
            "fax_number": "303-341-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15159 EAST COLFAX AVE.",
            "address_2": "#B",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-341-5437",
            "fax_number": "303-341-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSHADI",
        "first_name": "DAVOOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA  ID #",
            "identifier": "1750783",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14557886",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.