Individual provider Active NPI

Sakib Vahora, DDS

  • Endodontics
  • Colorado Springs, CO
National Provider Identifier
1649694480
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
00203354 Issued in CO
Practice address
3715 Bloomington St Unit 160
Colorado Springs, CO 80922-3207
Phone
(719) 301-2193
NPI assigned
Feb 14, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 00203354 CO Primary

Addresses

Primary practice location

3715 Bloomington St Unit 160
Colorado Springs, CO 80922-3207

Mailing address

6020 N Carefree Cir
Colorado Springs, CO 80922-2402

Other practice location 1

3989 Malvini Dr
San Jose, CA 95118-1736
Phone (408) 448-2968

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
00203354COMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649694480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 N CAREFREE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BLOOMINGTON ST UNIT 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809223207",
            "telephone_number": "719-301-2193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3989 Malvini Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951181736",
            "country_code": "US",
            "telephone_number": "408-448-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHORA",
        "first_name": "SAKIB",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00203354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.