Organization Active NPI

Katanov Dental PLLC

Doing business as Diamond Dental Group

  • Dentist
  • Denver, CO
National Provider Identifier
1770368383
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KATANOV DENTAL PLLC
Doing business as
Diamond Dental Group
Practice address
9779 E Hampden Ave
Denver, CO 80231-4901
Phone
(720) 505-3145
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Dr. Alexander Katanov, DMDNPI 1871119297
Title
Member
Phone
(720) 505-3145

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9779 E Hampden Ave
Denver, CO 80231-4901

Mailing address

9779 E Hampden Ave
Denver, CO 80231-4901
Phone (720) 505-3145

Other names 1

  • Diamond Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

9779 E Hampden Ave
Denver, CO 80231
Phone (720) 284-7071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1770368383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9779 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314901",
            "telephone_number": "720-505-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9779 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314901",
            "telephone_number": "720-505-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATANOV DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "KATANOV",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-505-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Dental Group",
            "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 Aug 30, 2023; 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.