NPIMap

Organization Active NPI

Wade R. Hirschman DDS PC

  • Dental Clinic/Center
  • Golden, CO
National Provider Identifier
1063803823
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9779 Issued in CO
Legal business name
WADE R. HIRSCHMAN DDS PC
Doing business as
Legacy Endodontics
Practice address
400 Indiana St
Suite 370
Golden, CO 80401-5027
Phone
(303) 526-1502
Fax
(303) 526-1508
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wade R Hirschman, DDS, MSNPI 1598923104
Title
President
Phone
(303) 526-1502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 9779 CO Primary

Addresses

Primary practice location

400 Indiana St
Suite 370
Golden, CO 80401-5027

Mailing address

400 Indiana St
Suite 370
Golden, CO 80401-5027
Phone (303) 526-1502

Other names 1

  • Legacy Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Legacy Endodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1063803823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 370",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-526-1502",
            "fax_number": "303-526-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST",
            "address_2": "SUITE 370",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-526-1502",
            "fax_number": "303-526-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE R. HIRSCHMAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "HIRSCHMAN",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-526-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "9779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.