Individual provider Active NPI

Patricia Sevilla Bratulescu, DDS

  • Dentist
  • Aurora, CO
National Provider Identifier
1982845707
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9854 Issued in CO
Practice address
16806 E Asbury Ave
Aurora, CO 80013-1207
Phone
(720) 535-9679
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9854 CO Primary

Addresses

Primary practice location

16806 E Asbury Ave
Aurora, CO 80013-1207

Mailing address

16806 E Asbury Ave
Aurora, CO 80013-1207
Phone (720) 535-9679

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151014000850 CO Order and Referring Only - DentistPractitioner - Dentist 0749599769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9854COMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1982845707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16806 E ASBURY AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131207",
            "telephone_number": "720-535-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16806 E ASBURY AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131207",
            "telephone_number": "720-535-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATULESCU",
        "first_name": "PATRICIA",
        "middle_name": "SEVILLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.