Active NPI
Inna E Dunker, DDS
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1679623243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7337
- Practice address
- 2121 S Oneida St
S-321
Denver, CO 80224-2549 - Phone
- (303) 796-8767
- Fax
- (303) 694-6238
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7337 | CO | Primary |
Addresses
Primary practice location
2121 S Oneida St
S-321
Denver, CO 80224-2549
Mailing address
2121 S Oneida St
S-321
Denver, CO 80224-2549
Phone (303) 796-8767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94278768 | Medicaid | CO |
Other names 1
- Dr. Inna A Ermolaeva
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 |
|---|---|---|---|
| 7337 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accord Enterprises Professional LLC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Denver, CO
- NPI 1518017151
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679623243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S ONEIDA ST",
"address_2": "S-321",
"city": "DENVER",
"state": "CO",
"postal_code": "802242549",
"telephone_number": "303-796-8767",
"fax_number": "303-694-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S ONEIDA ST",
"address_2": "S-321",
"city": "DENVER",
"state": "CO",
"postal_code": "802242549",
"telephone_number": "303-796-8767",
"fax_number": "303-694-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNKER",
"first_name": "INNA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "7337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94278768",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "INNA",
"last_name": "ERMOLAEVA",
"middle_name": "A",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.