Active NPI
Fnu Archana Palakkal Meethil
- Periodontics
- Aurora, CO
National Provider Identifier
1821540964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- AD0000527
- Practice address
- 13065 E 17TH Ave RM 130
Aurora, CO 80045-2532 - Phone
- (303) 724-9584
- NPI assigned
- Oct 25, 2016
- Sex
- Female
- 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 | AD0000527 | CO | Primary |
Addresses
Primary practice location
13065 E 17TH Ave RM 130
Aurora, CO 80045-2532
Mailing address
1300 S Willow St Apt 6203
Aurora, CO 80247-2137
Phone (531) 225-8253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161213000109 | CT | Order and Referring Only - Other (Physician) | 8628358447 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AD0000527 | CO | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1821540964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S WILLOW ST APT 6203",
"city": "AURORA",
"state": "CO",
"postal_code": "802472137",
"telephone_number": "531-225-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13065 E 17TH AVE RM 130",
"city": "AURORA",
"state": "CO",
"postal_code": "800452532",
"telephone_number": "303-724-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHANA PALAKKAL MEETHIL",
"first_name": "FNU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "AD0000527",
"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 22, 2024; 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.