NPIMap

Individual provider Active NPI

Ashraf Sedhom, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Aurora, CO
National Provider Identifier
1679539514
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6616 Issued in CO
Practice address
11246 E Mississippi Ave
Aurora, CO 80012-3202
Phone
(303) 344-0810
NPI assigned
Apr 20, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 6616 CO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 6616 CO Primary

Addresses

Primary practice location

11246 E Mississippi Ave
Aurora, CO 80012-3202

Mailing address

11246 E Mississippi Ave
Aurora, CO 80012-3202
Phone (303) 344-0810

Other practice location 1

2200 E 104th Ave Ste 116
Thornton, CO 80233-4402
Phone (303) 255-1077

Other practice location 2

2210 S Federal Blvd Unit 1
Denver, CO 80219-5483
Phone (303) 936-5922

Other practice location 3

7373 W Jefferson Ave Ste 102
Lakewood, CO 80235-2020
Phone (720) 466-1246

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6616COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eaa Co LLC PastSince Nov 5, 2023 Accepting new patients
Elite Anesthesia Associates Past Accepting new patients

Organizations & group practices 7

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1679539514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123202",
            "telephone_number": "303-344-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123202",
            "telephone_number": "303-344-0810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E 104th Ave Ste 116",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802334402",
            "country_code": "US",
            "telephone_number": "303-255-1077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2210 S Federal Blvd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802195483",
            "country_code": "US",
            "telephone_number": "303-936-5922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 W Jefferson Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802352020",
            "country_code": "US",
            "telephone_number": "720-466-1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDHOM",
        "first_name": "ASHRAF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CO",
            "license": "6616",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.