Individual provider Active NPI

Zachary Arquilla, D.M.D.

  • Dentist
  • Erie, CO
National Provider Identifier
1063897734
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202594 Issued in CO
Practice address
77 Erie Village SQ
Erie, CO 80516-6992
Phone
(815) 441-7472
NPI assigned
Jul 23, 2015
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202594 CO Primary

Addresses

Primary practice location

77 Erie Village SQ
Erie, CO 80516-6992

Mailing address

1337 Stockton Dr
Erie, CO 80516-6883
Phone (815) 441-7472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000793 CO Order and Referring Only - DentistPractitioner - Dentist 9234446824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202594COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary Arquilla DMD, PLLC Dentist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1063897734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 STOCKTON DR",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166883",
            "telephone_number": "815-441-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ERIE VILLAGE SQ",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166992",
            "telephone_number": "815-441-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARQUILLA",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.