Active NPI
Richard Bardwell Hill, DDS
- Periodontics
- Arvada, CO
National Provider Identifier
1134595804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DEN.00205899
- Practice address
- 14575 W 64TH Ave Unit a
Arvada, CO 80004-3546 - Phone
- (303) 421-7000
- Fax
- (303) 421-1687
- NPI assigned
- Aug 18, 2015
- Last updated
- Nov 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 145963 | AK | |
| Periodontics | 1223P0300X | DS040471 | PA | |
| General Practice Dentistry | 1223G0001X | DS040471 | PA | |
| Periodontics | 1223P0300X | DEN.00205899 | CO | Primary |
Addresses
Primary practice location
14575 W 64TH Ave Unit a
Arvada, CO 80004-3546
Mailing address
14575 W 64TH Ave Unit a
Arvada, CO 80004-3546
Phone (303) 421-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040471 | PA | MD | General Practice Dentistry |
| 145963 | AK | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas N Wanat III, DMD, MSD, LLC | Periodontics | Current | Accepting new patients |
Locations
2020 Abbott Rd
Ste 5
Anchorage, AK 99507
Phone (907) 313-8918
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.
-
dba Alaska Periodontics and Implant Surgery
- Periodontics
- Anchorage, AK
- NPI 1235011834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793491200000",
"number": "1134595804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14575 W 64TH AVE UNIT A",
"city": "ARVADA",
"state": "CO",
"postal_code": "800043546",
"telephone_number": "303-421-7000",
"fax_number": "303-421-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14575 W 64TH AVE UNIT A",
"city": "ARVADA",
"state": "CO",
"postal_code": "800043546",
"telephone_number": "303-421-7000",
"fax_number": "303-421-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "RICHARD",
"middle_name": "BARDWELL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2026-11-01",
"certification_date": "2026-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "AK",
"license": "145963",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS040471",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS040471",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "DEN.00205899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.