Neha DC Jivan

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205004 Issued in CO

Practice address

3630 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6661

Phone

(719) 304-5400

NPI assigned

Mar 3, 2021

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Akvc North LLC

  dba Academy Kids Vision

  • Medical Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1013330208
  NPD (past)
• Northfield Dentists, LLP

  dba Modern Dentistry of Northfield

  • General Practice Dentistry
  • Denver, CO
  • NPI 1245698026
  NPD (past)
• Park West Dental PC

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1033356670
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1790370617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E CHEYENNE MOUNTAIN BLVD STE F #301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-502-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 AUSTIN BLUFFS PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186661",
            "telephone_number": "719-304-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Pacific Coast Hwy Ste 21",
            "address_purpose": "LOCATION",
            "city": "Harbor City",
            "state": "CA",
            "postal_code": "907103544",
            "country_code": "US",
            "telephone_number": "310-596-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16932 E Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800152745",
            "country_code": "US",
            "telephone_number": "720-716-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3470 Parker Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810082280",
            "country_code": "US",
            "telephone_number": "719-543-4022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIVAN",
        "first_name": "NEHA",
        "middle_name": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Jimerson
• Dongkwan Jin, MD
• Wiley J. Jinkins III, M.D.
• Jakki A Jirak, BS
• Khloee Jiron
• JJ Elevation, PLLC (Elevation Endodontics)
• Jji Neuromonitoring Services LLC
• JJN Home Health Agency Inc.
• JK Blixt D.O. Inc
• JLD Counseling LLC

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.