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DR. ARACE NANA ASSADOGHLI DMD
NPI 1043792815
Dentist - General Practice in Broomfield, CO

Active since August 29, 2018PECOS Enrolled
4490 W 121ST AVE STE 7, BROOMFIELD, CO 80020(303) 469-2061(303) 275-8011 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2023, Jun 10, 2021, Aug 29, 2018 (3 updates tracked since 2018).

About Dr. Arace Nana Assadoghli Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ARACE NANA ASSADOGHLI DMD (NPI 1043792815) is an individual general practice provider in Broomfield, Colorado, licensed in Colorado (DEN00204743) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043792815
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ARACE NANA ASSADOGHLICredential: DMD
Location Address4490 W 121ST AVE STE 7Broomfield, CO 80020-5603
Mailing Address32527 Little Cub RdEvergreen, CO 80439-6657 · (904) 710-5632
Phone(303) 469-2061
Fax(303) 275-8011
Sole ProprietorYes
Enumeration DateAugust 29, 2018
Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1043792815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN00204743
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DN23786 (FL)
4490 W 121ST AVE STE 7, Broomfield, CO 80020
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111806 Atlantic Blvd Ste 4Jacksonville, FL 32225-2968 · Phone (904) 717-0679
Location 214255 W Colfax Ave Ste ELakewood, CO 80401-3264 · Phone (315) 454-6000 · Fax (866) 803-4943

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arace Nana Assadoghli Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SWARADA KARMARKAR DDS
Dentist (General Practice)
4490 W 121ST AVE STE 7
BROOMFIELD, CO 80020
Broomfield County (303) 854-9903
BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS, LLP
Dentist (General Practice)
4490 W 121ST AVE STE 7
BROOMFIELD, CO 80020
Broomfield County (714) 368-2077
LAUREN LLORENTE
Dentist (General Practice)
4490 W 121ST AVE STE 7
BROOMFIELD, CO 80020
Broomfield County (303) 469-2061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arace Assadoghli's NPI number?

The NPI number for Arace Assadoghli is 1043792815. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Arace Assadoghli located?

Arace Assadoghli practices at 4490 W 121st Ave Ste 7, Broomfield, CO 80020. The listed phone number is (303) 469-2061.

What is Arace Assadoghli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Arace Assadoghli enrolled in Medicare?

Yes. Arace Assadoghli is registered in the Medicare PECOS enrollment system.

What insurance does Arace Assadoghli accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Arace Assadoghli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Arace Assadoghli was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.