NPIMap

Organization Active NPI

Abs Dentistry PLLC

Doing business as Clermont Dental

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1710450192
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ABS DENTISTRY PLLC
Doing business as
Clermont Dental
Clermont Family Dentistry
Practice address
2101 S Clermont St
Denver, CO 80222-5006
Phone
(303) 691-3333
Fax
(720) 666-6036
NPI assigned
Jan 8, 2019
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Dr. Atousa B Safavi, MS, DDSNPI 1407236631
Title
Dentist/Owner
Phone
(919) 428-4525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

2101 S Clermont St
Denver, CO 80222-5006

Mailing address

2101 S Clermont St
Denver, CO 80222-5006
Phone (303) 691-3333

Other names 2

  • Clermont Dental Doing business as
  • Clermont Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2101 S Clermont St
Denver, CO 80222
Phone (303) 691-3333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1710450192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S CLERMONT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225006",
            "telephone_number": "303-691-3333",
            "fax_number": "720-666-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S CLERMONT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225006",
            "telephone_number": "303-691-3333",
            "fax_number": "720-666-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "SAFAVI",
        "authorized_official_first_name": "ATOUSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "919-428-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clermont Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clermont Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.