Active NPI
Jayashree Swetha Nakkana, DMD
- Pediatric Dentistry
- Thornton, CO
National Provider Identifier
1851606560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00010660
- Practice address
- 8990 Washington St
Thornton, CO 80229-4537 - Phone
- (720) 929-1655
- Fax
- (720) 565-4129
- NPI assigned
- Aug 18, 2010
- Last updated
- May 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10527 | CT | |
| Pediatric Dentistry | 1223P0221X | DEN.00010660 | CO | Primary |
Addresses
Primary practice location
8990 Washington St
Thornton, CO 80229-4537
Mailing address
1735 S Public Rd Ste 203
Lafayette, CO 80026-7093
Phone (303) 665-3036
Other practice location 1
2400 W 16th St
Greeley, CO 80634-6067
Phone (970) 395-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44150733 | Medicaid | CO | |
| 008032174 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jayashree.nakkana.p4@direct.clinicafamilyhealth.nextgenshare.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10527 | CT | MD | General Practice Dentistry |
| DEN.00010660 | CO | MD | Pediatric Dentist |
Interoperability endpoints
- jayashree.nakkana.p4@direct.clinicafamilyhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1851606560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 S PUBLIC RD STE 203",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800267093",
"telephone_number": "303-665-3036",
"fax_number": "303-665-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 WASHINGTON ST",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294537",
"telephone_number": "720-929-1655",
"fax_number": "720-565-4129"
}
],
"practiceLocations": [
{
"address_1": "2400 W 16th St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806346067",
"country_code": "US",
"telephone_number": "970-395-1000",
"fax_number": "970-395-9811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAKKANA",
"first_name": "JAYASHREE",
"middle_name": "SWETHA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "10527",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00010660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44150733",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008032174",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jayashree.nakkana.p4@direct.clinicafamilyhealth.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "NextGen EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "8990 Washington St",
"city": "Thornton",
"state": "CO",
"country_code": "US",
"postal_code": "802294537",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.