Organization Active NPI

Eva Bodoni,D.D.S.,Professional LLC

  • General Practice Dentistry
  • Greenwood Village, CO
National Provider Identifier
1710021068
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9055 Issued in CO
Legal business name
EVA BODONI,D.D.S.,PROFESSIONAL LLC
Practice address
8000 E Prentice Ave
Greenwood Village, CO 80111-2744
Phone
(720) 290-1614
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Eva Bodoni, D.D.S.
Title
Dentist
Phone
(720) 290-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9055 CO Primary

Addresses

Primary practice location

8000 E Prentice Ave
Greenwood Village, CO 80111-2744

Mailing address

8000 E Prentice Ave
Greenwood Village, CO 80111-2744
Phone (720) 290-1614

National Provider Directory

National Provider Directory
Tax ID family
Eva Bodoni DDS Professional LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8000 E Prentice Ave
Greenwood Village, CO 80111
Phone (720) 290-1614

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1710021068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112744",
            "telephone_number": "720-290-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E PRENTICE AVE",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112744",
            "telephone_number": "720-290-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA BODONI,D.D.S.,PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "BODONI",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-290-1614",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.