NPIMap

Individual provider Active NPI

Maharshi Desai, DDS

  • Dentist
  • Lakewood, CO
National Provider Identifier
1891089678
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202410 Issued in CO
Practice address
12810 W Alameda Pkwy
Suite a
Lakewood, CO 80228-3116
Phone
(303) 987-2273
NPI assigned
Jun 8, 2011
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00202410 CO Primary

Addresses

Primary practice location

12810 W Alameda Pkwy
Suite a
Lakewood, CO 80228-3116

Mailing address

12810 W Alameda Pkwy
Suite a
Lakewood, CO 80228-3116
Phone (303) 987-2273

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
DEN.00202410COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1891089678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 W ALAMEDA PKWY",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-987-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 W ALAMEDA PKWY",
            "address_2": "SUITE A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802283116",
            "telephone_number": "303-987-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MAHARSHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.