Active NPI
Melissa Lyn Kovacevic, DMD
- General Practice Dentistry
- Littleton, CO
National Provider Identifier
1689135295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401416934
- Practice address
- 5021 S Jellison Way Unit C
Littleton, CO 80123-7378 - Phone
- (720) 608-5557
- NPI assigned
- Mar 27, 2019
- 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 | 0401416934 | VA | Primary |
Addresses
Primary practice location
5021 S Jellison Way Unit C
Littleton, CO 80123-7378
Mailing address
3045 Lawrence St
Denver, CO 80205-2317
Phone (717) 798-0077
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 |
|---|---|---|---|
| 0401416934 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1689135295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3045 LAWRENCE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802052317",
"telephone_number": "717-798-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 S JELLISON WAY UNIT C",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801237378",
"telephone_number": "720-608-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACEVIC",
"first_name": "MELISSA",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401416934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.