Individual provider Active NPI

Miranda Hutchison, D.D.S.

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1780091496
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
202244 Issued in CO
Practice address
14001 E Iliff Ave Ste 104
Aurora, CO 80014-1424
Phone
(303) 337-0047
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 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 202244 CO Primary

Addresses

Primary practice location

14001 E Iliff Ave Ste 104
Aurora, CO 80014-1424

Mailing address

14001 E Iliff Ave Ste 104
Aurora, CO 80014-1424
Phone (303) 519-9995

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
I20150729007963 CO Order and Referring Only - DentistPractitioner - Dentist 4183938566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202244COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Station Dental Group, PC General Practice CurrentSince Apr 9, 2023 Accepting new patients

Locations

14001 E Iliff Ave
Ste 104
Aurora, CO 80014
Phone (303) 337-0047

4625 Trail Boss Dr
Ste G
Castle Rock, CO 80104
Phone (720) 733-1210

9358 Dorchester St
Ste 103
Highlands Ranch, CO 80129
Phone (303) 791-0160

10090 W 26th Ave
Unit 400
Lakewood, CO 80215
Phone (303) 232-6205

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1780091496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141424",
            "telephone_number": "303-519-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141424",
            "telephone_number": "303-337-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "MIRANDA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2023-04-06",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.