Kentaro Ikeda, DDS | |
13065 E 17th Ave, Aurora, CO 80045-2532 | |
(303) 724-5505 | |
Not Available |
Full Name | Kentaro Ikeda |
---|---|
Gender | Male |
Speciality | Dentist |
Experience | 25 Years |
Location | 13065 E 17th Ave, Aurora, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467582577 | NPI | - | NPPES |
38820064 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 150533 (North Carolina) | Secondary |
122300000X | Dentist | AD.0000515 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Brigham And Women's Hospital | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brigham And Women's Physicians Organization Inc | 3870405988 | 2510 |
Brigham And Womens Hospital Inc | 4385554732 | 53 |
Dana-farber Cancer Institute, Inc. | 9133038904 | 538 |
Entity Name | Dana-farber Cancer Institute, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851333686 PECOS PAC ID: 9133038904 Enrollment ID: O20040223000228 |
Entity Name | Brigham & Womens Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
Entity Name | Brigham And Women's Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Mailing Address | Practice Location Address |
---|---|
Kentaro Ikeda, DDS 13065 E 17th Ave, Mail Stop F844, Aurora, CO 80045-2532 Ph: (303) 724-9584 | Kentaro Ikeda, DDS 13065 E 17th Ave, Aurora, CO 80045-2532 Ph: (303) 724-5505 |
Dr. Alfred Patrick Smithwick Iii, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 22986 E Smoky Hill Rd, Aurora, CO 80016 Phone: 443-756-7119 | |
Dr. Syed Shafay Yaqeen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 North Nursula Street Buildng 5 Apt 444, Aurora, CO 80045 Phone: 682-313-5321 | |
Dr. Ricky Eugene Harrell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13065 E 17th Pl, Aurora, CO 80045 Phone: 303-724-0725 | |
Dr. William Randall Sanders Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 S Parker Rd, Suite 103, Aurora, CO 80014 Phone: 303-337-2794 Fax: 303-337-2848 | |
Dr. Lucas Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 797 Peoria St Ste A, Aurora, CO 80011 Phone: 303-577-0062 | |
Dr. Marwan Al-barrak, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3507 S Cathay St, Aurora, CO 80013 Phone: 404-245-3604 | |
Dr. Mun J. Choi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1075 S Peoria St, Aurora, CO 80012 Phone: 303-577-0377 |