Active NPI
Ahmed Jawad, DMD
- Dentist
- Aurora, CO
National Provider Identifier
1720508393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203192
- Practice address
- 13065 E 17TH Ave
Aurora, CO 80045-2532 - Phone
- (303) 724-6900
- NPI assigned
- Jun 23, 2017
- Last updated
- Jun 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00203192 | CO | Primary |
Addresses
Primary practice location
13065 E 17TH Ave
Aurora, CO 80045-2532
Mailing address
13781 E Richthofen Cir Apt P207
Aurora, CO 80011-6769
Phone (813) 464-4125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00203192 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1720508393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13781 E RICHTHOFEN CIR APT P207",
"city": "AURORA",
"state": "CO",
"postal_code": "800116769",
"telephone_number": "813-464-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13065 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452532",
"telephone_number": "303-724-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAWAD",
"first_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.