Dennis Eric Waguespack, D.D.S., M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DEN.00201976 Issued in CO

Practice address

8751 E Hampden Ave
Suite C-6
Denver, CO 80231-4952

Phone

(303) 755-4003

Fax

(303) 743-9638

NPI assigned

Jul 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Bridgecreek Prosthetic Dentistry PLLC

  • Prosthodontics
  • Denver, CO
  • NPI 1679147565
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1093156077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE",
            "address_2": "SUITE C-6",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314952",
            "telephone_number": "303-755-4003",
            "fax_number": "303-743-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 E HAMPDEN AVE",
            "address_2": "SUITE C-6",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314952",
            "telephone_number": "303-755-4003",
            "fax_number": "303-743-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUESPACK",
        "first_name": "DENNIS",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "DEN.00201976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Earl Wagner, DPT
• Rylee Wagner, MD
• Theresa Wagner, PHARM.D.
• Tyler Wagner
• Katrina Wagoner-Hursh, MD
• Ghadeer Walid Wahdan, PHARMD
• Brianna Wahl
• Kenneth L Wahl
• Lawrence Wahlberg
• Julie Ann Wahman, RN

• Prosthodontics in Denver, CO
• Providers in Denver, CO by specialty
• Prosthodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.