Active NPI
Sakib Vahora, DDS
- Endodontics
- Colorado Springs, CO
National Provider Identifier
1649694480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 00203354
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00203354 | CO | MD | Endodontist |
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.