Amishka Bantho, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205829 Issued in CO

Practice address

9871 S Parker Rd Unit 105
Parker, CO 80134-8802

Phone

(303) 805-5703

NPI assigned

Jan 2, 2024

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

Enrolled in CO

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.

Enrollment records 1

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.

• Parker Modern Dentistry and Orthodontics, LLP

  • Dentist
  • Parker, CO
  • NPI 1669723557
  NPD (past)

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1487424420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 CYAN CIR UNIT B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093937",
            "telephone_number": "719-725-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9871 S PARKER RD UNIT 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348802",
            "telephone_number": "303-805-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12947 S Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343498",
            "country_code": "US",
            "telephone_number": "303-676-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANTHO",
        "first_name": "AMISHKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Darlene Baker, AUD
• Sharon Elizabeth Baker, M.A., L.P.C.
• David Phillip Baldwin, DO
• Marian Balke, RN
• Colleen Marie Ballain, PA-C
• Alan Randal Barber, O.D.
• Kristina Barber, MD
• Ashley Danielle Barefoot, DDS
• Bariatric and Metabolic Center of Colorado
• Barker Ventures Inc

• General Practice Dentistry in Parker, CO
• Providers in Parker, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.