Individual provider Active NPI

Ehsan Zahedi, DDS, MSD

  • Periodontics
  • Parker, CO
National Provider Identifier
1992338891
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DEN.00206232 Issued in CO
Practice address
9871 S Parker Rd Unit 105
Parker, CO 80134-8802
Phone
(303) 805-5703
NPI assigned
Feb 19, 2020
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DEN.00206232 CO Primary

Addresses

Primary practice location

9871 S Parker Rd Unit 105
Parker, CO 80134-8802

Mailing address

9871 S Parker Rd Unit 105
Parker, CO 80134-8802
Phone (303) 805-5703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250918000273 TX Order and Referring Only - DentistPractitioner - Dentist 2961906466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00206232COMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Modern Dentistry and Orthodontics, LLP PastSince May 11, 2025 Accepting new patients

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1992338891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9871 S PARKER RD UNIT 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348802",
            "telephone_number": "303-805-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9871 S PARKER RD UNIT 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801348802",
            "telephone_number": "303-805-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "EHSAN",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-19",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "DEN.00206232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.