Active NPI
Joseph Nikki Datar, D.D.S.
- Periodontics
- Greenwood Village, CO
National Provider Identifier
1821446436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DEN.00202765
- Practice address
- 7447 E Berry Ave
Suite 230
Greenwood Village, CO 80111-2146 - Phone
- (303) 741-3300
- Fax
- (303) 694-6270
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DEN.00202765 | CO | Primary |
Addresses
Primary practice location
7447 E Berry Ave
Suite 230
Greenwood Village, CO 80111-2146
Mailing address
1235 Adams St
Denver, CO 80206-3417
Phone (719) 502-1888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 19, 2017 through Apr 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202765 | CO | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1821446436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 ADAMS ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802063417",
"telephone_number": "719-502-1888",
"fax_number": "303-694-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 E BERRY AVE",
"address_2": "SUITE 230",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112146",
"telephone_number": "303-741-3300",
"fax_number": "303-694-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATAR",
"first_name": "JOSEPH",
"middle_name": "NIKKI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "DEN.00202765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.