Individual provider Active NPI

Ankush Duggar

  • Dentist
  • Denver, CO
National Provider Identifier
1689436529
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00205846 Issued in CO
Practice address
4820 E Hampden Ave # 104
Denver, CO 80222-7300
Phone
(516) 412-9844
NPI assigned
Jan 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00205846 CO Primary

Addresses

Primary practice location

4820 E Hampden Ave # 104
Denver, CO 80222-7300

Mailing address

2181 S Trenton Way Apt 14-304
Denver, CO 80231-5391
Phone (516) 412-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240729000765 TX Order and Referring Only - DentistPractitioner - Dentist 9739625542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00205846COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1689436529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 S TRENTON WAY APT 14-304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315391",
            "telephone_number": "516-412-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 E HAMPDEN AVE # 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802227300",
            "telephone_number": "516-412-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAR",
        "first_name": "ANKUSH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.