Gorden L Hucal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205753 Issued in CO

Practice address

3244 Youngfield St Unit H
Wheat Ridge, CO 80033-5276

Phone

(720) 797-0025

NPI assigned

Jun 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1114542024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 YOUNGFIELD ST UNIT H",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 YOUNGFIELD ST UNIT H",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335276",
            "telephone_number": "720-797-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCAL",
        "first_name": "GORDEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "12161",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Anina Hotz Callis, LCSW
• Laura Ann Houd, MA, LPC
• Rebecca Howe, LCSW
• Misty Ariella Hubbard, LPC
• Nicole Huber, MA, LPC, LAC
• Elizabeth Ann Huddleston, FNP-BC
• Kasey Hughbanks
• Melanie R Hughbanks
• Ashley Hughes, RD
• Keith Hughes, M.A.

• Dentist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.