Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kayvan Fathimani, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1396040127

Kayvan Fathimani, DDS is an Oral Surgery in Lone Tree, Colorado. Graduated from University of Toronto Faculty of Dentistry in 2009, 17 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Colorado and New York.

Years since qualifying
17
Trained at
University of Toronto Faculty of Dentistry
Licensed in
CO, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

10535 Park Meadows Blvd Ste 250
Lone Tree, CO 80124-8401
Phone: (303) 381-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1918 Avenue U, Brooklyn, NY 11229-3906 — (718) 743-5400

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DEN.00204716 (CO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 056659 (NY)

Record details

NPI number1396040127
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 26, 2011
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIVERSITY OF TORONTO FACULTY OF DENTISTRY
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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