Active NPI
Robert Alan Masthay, D.M.D.
- Dentist
- Arvada, CO
National Provider Identifier
1023017662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4386
- Practice address
- 7400 Wadsworth Blvd Ste 102
Arvada, CO 80003-2767 - Phone
- (303) 429-1766
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4386 | CO | Primary |
Addresses
Primary practice location
7400 Wadsworth Blvd Ste 102
Arvada, CO 80003-2767
Mailing address
7400 Wadsworth Blvd Ste 102
Arvada, CO 80003-2767
Phone (303) 429-1766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4386 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1023017662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 WADSWORTH BLVD STE 102",
"city": "ARVADA",
"state": "CO",
"postal_code": "800032767",
"telephone_number": "303-429-1766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 WADSWORTH BLVD STE 102",
"city": "ARVADA",
"state": "CO",
"postal_code": "800032767",
"telephone_number": "303-429-1766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTHAY",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "4386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.