Individual provider Active NPI

Nathan P Cherof, D.M.D.

  • Dentist
  • Evergreen, CO
National Provider Identifier
1477819894
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00201970 Issued in CO
Practice address
31226 Lewis Ridge Rd
Evergreen, CO 80439-7998
Phone
(303) 674-5566
NPI assigned
Apr 10, 2012
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00201970 CO Primary

Addresses

Primary practice location

31226 Lewis Ridge Rd
Evergreen, CO 80439-7998

Mailing address

3622 Lowell Blvd
Denver, CO 80211-2762
Phone (404) 889-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 23, 2019 through Jan 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00201970COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Dental Group 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1477819894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LOWELL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802112762",
            "telephone_number": "404-889-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31226 LEWIS RIDGE RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397998",
            "telephone_number": "303-674-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEROF",
        "first_name": "NATHAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00201970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

Verify at the official NPI Registry.