NPIMap

Organization Active NPI

Dr. Ashraf W Sedhom-BDS MD PC

Doing business as Oral Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Aurora, CO
National Provider Identifier
1861541518
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6616 Issued in CO
Legal business name
DR. ASHRAF W SEDHOM-BDS MD PC
Doing business as
Oral Surgery Center
Practice address
11246 E Mississippi Ave
Aurora, CO 80012-3202
Phone
(303) 344-0810
Fax
(303) 344-5309
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Ashraf W Sedhom, M.D.
Title
Oral Surgeon
Phone
(303) 344-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 6616 CO Primary

Addresses

Primary practice location

11246 E Mississippi Ave
Aurora, CO 80012-3202

Mailing address

11246 E Mississippi Ave
Aurora, CO 80012-3202
Phone (303) 344-0810

Other identifiers 2

IdentifierTypeStateIssuer
34278052MedicaidCO
02066165MedicaidCO

Other names 1

  • Oral Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Ashraf W Sedhom-BDS MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1861541518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123202",
            "telephone_number": "303-344-0810",
            "fax_number": "303-344-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11246 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123202",
            "telephone_number": "303-344-0810",
            "fax_number": "303-344-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ASHRAF W SEDHOM-BDS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SEDHOM",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "303-344-0810",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34278052",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02066165",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 9, 2023; 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.