Mehron Kazemi, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202785 Issued in CO

Practice address

2466 S Colorado Blvd
Unit 102
Denver, CO 80222-5931

Phone

(303) 691-6983

NPI assigned

Jul 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Practice roles

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.

• Kazemi Dental PLLC

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1124517826
  NPD Authorized official
• Pueblo Dental Services LLC

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1992577860
  NPD Authorized official
• University Hills Modern Dentistry, LLP

  • General Practice Dentistry
  • Denver, CO
  • NPI 1225339757
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1699150219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 S COLORADO BLVD",
            "address_2": "UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225931",
            "telephone_number": "303-691-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 S COLORADO BLVD",
            "address_2": "UNIT 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225931",
            "telephone_number": "303-691-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMI",
        "first_name": "MEHRON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-24",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10315",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel B Kaye
• Kayla'S Speech Therapy LLC
• Lindsey Whitehurst Kayne, MA LPCC
• Jessica Kazaks, PT
• Dawn Kazeck, MSW
• Karen Diane Kazibut, DPT
• Michal Kazimir, M.D.
• KB Health Services, LLC
• KCM Interpretive Services, LLC
• KCM Neuromonitoring, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.