Individual provider Active NPI

Vikas Trivedi, DDS

  • Dentist
  • Centennial, CO
National Provider Identifier
1639783632
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204483 Issued in CO
Practice address
19245 E Smoky Hill Rd Unit B
Centennial, CO 80015-3122
Phone
(757) 206-7990
NPI assigned
Sep 7, 2020
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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.00204483 CO Primary

Addresses

Primary practice location

19245 E Smoky Hill Rd Unit B
Centennial, CO 80015-3122

Mailing address

4400 S Syracuse St Unit 1111
Denver, CO 80237-2990
Phone (757) 206-7990

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
DEN.00204483COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vikas Trivedi DDS PLLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

18801 E Mainstreet
Ste 130
Parker, CO 80134
Phone (303) 840-3379

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": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1639783632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S SYRACUSE ST UNIT 1111",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372990",
            "telephone_number": "757-206-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19245 E SMOKY HILL RD UNIT B",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800153122",
            "telephone_number": "757-206-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "VIKAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-07",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.