Individual provider Active NPI

Mani Farzim, D.D.S.

  • General Practice Dentistry
  • Greenwood Village, CO
National Provider Identifier
1720424633
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
201921 Issued in CO
Practice address
7400 E Crestline Cir Ste 110
Greenwood Village, CO 80111-3603
Phone
(303) 771-7907
NPI assigned
May 18, 2013
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 201921 CO Primary

Addresses

Primary practice location

7400 E Crestline Cir Ste 110
Greenwood Village, CO 80111-3603

Mailing address

10500 Spring Green Dr Apt 110
Englewood, CO 80112-5745
Phone (303) 519-9185

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150731016163 CO Order and Referring Only - DentistPractitioner - Dentist 8729392915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201921COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
3N Dental PLLC Dentist CurrentSince Jan 22, 2023 Accepting new patients
Washington Dental Corporation PC General Practice Past Accepting new patients

Locations

7400 E Crestline Cir
Ste 110
Greenwood Village, CO 80111
Phone (303) 771-7907

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1720424633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 SPRING GREEN DR APT 110",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125745",
            "telephone_number": "303-519-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E CRESTLINE CIR STE 110",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113603",
            "telephone_number": "303-771-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARZIM",
        "first_name": "MANI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-18",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "201921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.