Individual provider Active NPI

David Wilford Lindman, D.D.S.

  • General Practice Dentistry
  • Centennial, CO
National Provider Identifier
1093036816
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10200 Issued in CO
Practice address
8223 S Quebec St
Centennial, CO 80112-4415
Phone
(303) 689-2273
Fax
(303) 689-0050
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10200 CO Primary

Addresses

Primary practice location

8223 S Quebec St
Centennial, CO 80112-4415

Mailing address

8223 S Quebec St
Centennial, CO 80112-4415
Phone (303) 689-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 7, 2016 through Jan 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10200COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental Centennial General Practice Past Accepting new patients
Comfort Dental Vail Valley General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1093036816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 S QUEBEC ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124415",
            "telephone_number": "303-689-2273",
            "fax_number": "303-689-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 S QUEBEC ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124415",
            "telephone_number": "303-689-2273",
            "fax_number": "303-689-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDMAN",
        "first_name": "DAVID",
        "middle_name": "WILFORD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.