Active NPI
Davood Manshadi, DDS
- General Practice Dentistry
- Aurora, CO
National Provider Identifier
1477589604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8151
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750783 | Other | UNITED CONCORDIA ID # | |
| 14557886 | Medicaid | CO |
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
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Aurora, CO
- NPI 1821357666
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.