Kavita Bakulesh Kurialacherry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205954 Issued in CO

Practice address

13075 Copperhead TRL
Parker, CO 80134-6243

Phone

(904) 762-5949

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kavita Patel Other name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1689041840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 BROTHERTON CT",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801049866",
            "telephone_number": "904-762-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 COPPERHEAD TRL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801346243",
            "telephone_number": "904-762-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIALACHERRY",
        "first_name": "KAVITA",
        "middle_name": "BAKULESH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015364",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITA",
            "last_name": "PATEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Walter Kulpan, D.C.
• Brett A Kummer, PT
• Kevin Kumrow, DVM
• Michele L. Kuntz, LCSW
• Emily D Kuper, FNP-C
• Yun Kyoung Kwon, DMD
• Pamela Lackey, SLP
• Kelsey Lacomb, FNP-BC
• Lactation and More
• Carlene Lacy, LPC

• Dentist in Parker, CO
• Providers in Parker, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.