Individual provider Active NPI

Afsaneh Samimi Noori, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1619130762
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10379 Issued in CO
Practice address
501 28TH St
Denver, CO 80205-3003
Phone
(303) 436-4600
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10379 CO Primary
General Practice Dentistry 1223G0001X 12011370A IN

Addresses

Primary practice location

501 28TH St
Denver, CO 80205-3003

Mailing address

345 Fillmore St
Unit 201
Denver, CO 80206-4358
Phone (317) 532-7443

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

State licenses

LicenseStateTypeSpecialty
10379COMDGeneral Practice Dentistry
12011370AINMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1619130762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 FILLMORE ST",
            "address_2": "UNIT 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064358",
            "telephone_number": "317-532-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 28TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053003",
            "telephone_number": "303-436-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORI",
        "first_name": "AFSANEH",
        "middle_name": "SAMIMI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10379",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011370A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.