Active NPI
Neda Tarjan, DDS
- Dentist
- Centennial, CO
National Provider Identifier
1972162592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00204026
- Practice address
- 6955 S York St Ste 415
Centennial, CO 80122-3277 - Phone
- (303) 226-6290
- Fax
- (303) 226-6291
- NPI assigned
- Jun 7, 2019
- Last updated
- Nov 11, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 00204026 | CO | Primary |
Addresses
Primary practice location
6955 S York St Ste 415
Centennial, CO 80122-3277
Mailing address
9461 Green Island PL
Lone Tree, CO 80124-3146
Phone (720) 445-2550
Other practice location 1
1425 Market St Ste 100
Denver, CO 80202-1822
Phone (720) 645-2153
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 |
|---|---|---|---|
| 00204026 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neda Tarjan DDS PLLC | Current | Accepting new patients |
Locations
6955 S York St
Ste 415
Centennial, CO 80122
Phone (303) 226-6290
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1972162592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9461 GREEN ISLAND PL",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801243146",
"telephone_number": "720-445-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 S YORK ST STE 415",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223277",
"telephone_number": "303-226-6290",
"fax_number": "303-226-6291"
}
],
"practiceLocations": [
{
"address_1": "1425 Market St Ste 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802021822",
"country_code": "US",
"telephone_number": "720-645-2153",
"fax_number": "720-645-2167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARJAN",
"first_name": "NEDA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00204026",
"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 Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.