Healthcare Provider Details

I. General information

NPI: 1538347752
Provider Name (Legal Business Name): ASHA CHINNI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6730 S CORNERSTAR WAY STE A
AURORA CO
80016-1571
US

IV. Provider business mailing address

10139 LONGVIEW DR
LONE TREE CO
80124-9763
US

V. Phone/Fax

Practice location:
  • Phone: 303-309-2332
  • Fax: 303-309-2331
Mailing address:
  • Phone: 720-243-3593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN-9607
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: