Individual provider Active NPI

Kaushal Kumar Dhawan, D.D.S

  • Prosthodontics
  • Centennial, CO
National Provider Identifier
1831531748
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DEN0202080 Issued in CO
Practice address
5161 E Arapahoe Rd Ste 255
Centennial, CO 80122-4810
Phone
(303) 773-8752
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DEN0202080 CO Primary

Addresses

Primary practice location

5161 E Arapahoe Rd Ste 255
Centennial, CO 80122-4810

Mailing address

5161 E Arapahoe Rd Ste 255
Centennial, CO 80122-4810
Phone (303) 773-8752

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
DEN0202080COMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Tequila Sunrise Boulder PLLC Current Accepting new patients
Tequila Sunrise Broomfield PLLC Current Accepting new patients

Locations

4150 Darley Ave
Ste 7
Boulder, CO 80305
Phone (303) 494-1550

Organizations & group practices 2

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1831531748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD STE 255",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224810",
            "telephone_number": "303-773-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD STE 255",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224810",
            "telephone_number": "303-773-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "KAUSHAL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "DEN0202080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.