Individual provider Active NPI

Yasamin Kasiri, D.D.S.

  • Dentist
  • Aurora, CO
National Provider Identifier
1750777967
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202486 Issued in CO
Practice address
16932 E Quincy Ave
Aurora, CO 80015-2745
Phone
(720) 716-3020
Fax
(720) 242-8517
NPI assigned
Apr 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00202486 CO Primary

Addresses

Primary practice location

16932 E Quincy Ave
Aurora, CO 80015-2745

Mailing address

14251 E 6TH Ave
Aurora, CO 80011-8706
Phone (303) 343-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160322001406 TX Order and Referring Only - DentistPractitioner - Dentist 0749594117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yasamin Kasiri DDS PLLC Dentist CurrentSince Jun 18, 2023 Accepting new patients

Locations

16932 E Quincy Ave
Aurora, CO 80015
Phone (646) 388-3730

Organizations & group practices 1

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1750777967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 E 6TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118706",
            "telephone_number": "303-343-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16932 E QUINCY AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152745",
            "telephone_number": "720-716-3020",
            "fax_number": "720-242-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASIRI",
        "first_name": "YASAMIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.