Individual provider Active NPI

Henry D Ahn, D.M.D

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1790761690
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9718 Issued in CO
Practice address
11275 E Mississippi Ave Ste 2N
Aurora, CO 80012-3263
Phone
(303) 750-3737
Fax
(303) 751-2285
NPI assigned
Dec 21, 2005
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS035875 PA
General Practice Dentistry 1223G0001X 9718 CO Primary

Addresses

Primary practice location

11275 E Mississippi Ave Ste 2N
Aurora, CO 80012-3263

Mailing address

2502 S Bahama Cir
Unit a
Aurora, CO 80013-6503
Phone (661) 578-8169

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

LicenseStateTypeSpecialty
DS035875PAMDGeneral Practice Dentistry
9718COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry D. Ahn DMD PC General Practice CurrentSince Aug 8, 2021 Accepting new patients

Locations

11275 E Mississippi Ave
Ste 2N
Aurora, CO 80012
Phone (303) 341-4878

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1790761690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 S BAHAMA CIR",
            "address_2": "UNIT A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136503",
            "telephone_number": "661-578-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 2N",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123263",
            "telephone_number": "303-750-3737",
            "fax_number": "303-751-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "HENRY",
        "middle_name": "D",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035875",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9718",
            "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 Jul 27, 2021; 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.