Individual provider Active NPI

Arielle Elizabeth Avant, DMD

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1609393826
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.000203346 Issued in CO
Practice address
5198 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8649
Phone
(719) 634-8884
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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.000203346 CO Primary

Addresses

Primary practice location

5198 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8649

Mailing address

4430 Chimney Rock LN
Colorado Springs, CO 80904-4619
Phone (719) 359-1771

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171110001070 CO Order and Referring Only - DentistPractitioner - Dentist 8921364704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.000203346COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Springs Modern Dentistry, LLP 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1609393826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 CHIMNEY ROCK LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044619",
            "telephone_number": "719-359-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 N NEVADA AVE STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188649",
            "telephone_number": "719-634-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVANT",
        "first_name": "ARIELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.000203346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.