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DR. JYOTHI G KUDASOMANNAVAR DMD
NPI 1437412988
Dentist - General Practice in Parker, CO

Active since June 20, 2012PECOS Enrolled
10371 PARKGLENN WAY STE 250, PARKER, CO 80138(303) 840-1900 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Jyothi G Kudasomannavar Dmd NPPES

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

DR. JYOTHI G KUDASOMANNAVAR DMD (NPI 1437412988) is an individual general practice provider in Parker, Colorado, licensed in Colorado (DEN.00202795) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437412988
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JYOTHI G KUDASOMANNAVARCredential: DMD
Location Address10371 PARKGLENN WAY STE 250Parker, CO 80138-3871
Mailing Address20293 E Belleview PlCentennial, CO 80015-5226 · (614) 519-1190
Phone(303) 840-1900
Sole ProprietorYes
Enumeration DateJune 20, 2012
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
✔ NPI 1437412988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CO · DEN.00202795✔ Licensed in OH · 30.023776
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.
10371 PARKGLENN WAY STE 250, Parker, CO 80138
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Other Identifiers 1

Medicaid0066756CO

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. Jyothi G Kudasomannavar 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 80138 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.

ELLIOT EZRA HADDAD
Dentist
10371 PARKGLENN WAY STE 250
PARKER, CO 80138
Douglas County (303) 840-1900
OPEN AND AFFORDABLE DENTAL PARKER EAST PLLC
Dentist (General Practice)
10371 PARKGLENN WAY STE 250
PARKER, CO 80138
Douglas County (303) 840-1900
PARKGLENN DENTAL
Dentist (General Practice)
10371 PARKGLENN WAY STE 250
PARKER, CO 80138
Douglas County (303) 840-1900

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 Jyothi Kudasomannavar's NPI number?

The NPI number for Jyothi Kudasomannavar is 1437412988. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Jyothi Kudasomannavar located?

Jyothi Kudasomannavar practices at 10371 Parkglenn Way Ste 250, Parker, CO 80138. The listed phone number is (303) 840-1900.

What is Jyothi Kudasomannavar's specialty?

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

Is Jyothi Kudasomannavar enrolled in Medicare?

Yes. Jyothi Kudasomannavar is registered in the Medicare PECOS enrollment system.

What insurance does Jyothi Kudasomannavar 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 5 other insurers list Jyothi Kudasomannavar 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 Jyothi Kudasomannavar was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.