Active NPI
Evin Elisabeth Worthington
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1851752554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0203078
- Practice address
- 200 Quebec St BLDG 500-105
Denver, CO 80230-7150 - Phone
- (303) 364-6659
- NPI assigned
- Mar 9, 2016
- Last updated
- Dec 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0203078 | CO | Primary |
Addresses
Primary practice location
200 Quebec St BLDG 500-105
Denver, CO 80230-7150
Mailing address
1565 Raleigh St Apt 302
Denver, CO 80204-1485
Phone (970) 903-8787
Other names 1
- Dr. Evin Elisabeth Worthington
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Denver | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20181219002531 | CO | Order and Referring Only - Other (Physician) | 4789936683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0203078 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1851752554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 RALEIGH ST APT 302",
"city": "DENVER",
"state": "CO",
"postal_code": "802041485",
"telephone_number": "970-903-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 QUEBEC ST BLDG 500-105",
"city": "DENVER",
"state": "CO",
"postal_code": "802307150",
"telephone_number": "303-364-6659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHINGTON",
"first_name": "EVIN",
"middle_name": "ELISABETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "0203078",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Denver",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 Quebec St Bldg 500-105",
"city": "Denver",
"state": "CO",
"country_code": "US",
"postal_code": "802307150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EVIN",
"last_name": "WORTHINGTON",
"middle_name": "ELISABETH",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Denver, CO
- Worth It PT LLC (Worth It: Women's Health and Physical Therapy)
- Lauren Worth, PMA
- Karen E Wortham, PT, DPT
- George Scott Worthen, MD
- Emilia Worthey, LCSW
- Hal Stephen Wortzel, MD
- Jeanette K Wotkyns, JD LMFT
- Wound and Family Practice of the Rockies, LLC
- Wound Associates of Colorado
- Wound Care & Hyperbaric Medicine Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.