Individual provider Active NPI

Krishna Dash, MD

  • Plastic Surgery Physician
  • Colorado Springs, CO
National Provider Identifier
1710073424
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
42829 Issued in CO
Practice address
2438 Research Pkwy Ste 100
Colorado Springs, CO 80920-1094
Phone
(719) 535-9990
Fax
(719) 535-9980
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 42829 CO Primary

Addresses

Primary practice location

2438 Research Pkwy Ste 100
Colorado Springs, CO 80920-1094

Mailing address

2438 Research Pkwy Ste 100
Colorado Springs, CO 80920-1094
Phone (719) 535-9990

Other practice location 1

7606 N Union Blvd., Ste A
Colorado Springs, CO 80920
Phone (719) 535-9990

Other identifiers 1

IdentifierTypeStateIssuer
05951356MedicaidCO

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104001214 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 5890758429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uch-MHS CurrentSince Jan 19, 2019 Accepting new patients
Uch-MHS Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1710073424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-535-9990",
            "fax_number": "719-535-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 RESEARCH PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201094",
            "telephone_number": "719-535-9990",
            "fax_number": "719-535-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7606 N Union Blvd., Ste A",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80920",
            "country_code": "US",
            "telephone_number": "719-535-9990",
            "fax_number": "719-535-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASH",
        "first_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "42829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05951356",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.