NPIMap

Organization Active NPI

Dr. Timothy J. Wachuta

  • Dental Clinic/Center
  • Wheat Ridge, CO
National Provider Identifier
1164018693
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. TIMOTHY J. WACHUTA
Practice address
8850 W 38TH Ave Ste D
Wheat Ridge, CO 80033-4245
Phone
(303) 425-5100
Fax
(303) 424-9578
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Timothy John Wachuta, DDS
Title
Dentist/Owner
Phone
(303) 425-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8850 W 38TH Ave Ste D
Wheat Ridge, CO 80033-4245

Mailing address

8850 W 38TH Ave Ste D
Wheat Ridge, CO 80033-4245
Phone (303) 425-5100

National Provider Directory

National Provider Directory
Tax ID family
Dr Timothy J Wachuta3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8850 W 38th Ave
Ste D
Wheat Ridge, CO 80033
Phone (303) 425-5100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1164018693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 W 38TH AVE STE D",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334245",
            "telephone_number": "303-425-5100",
            "fax_number": "303-424-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 W 38TH AVE STE D",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334245",
            "telephone_number": "303-425-5100",
            "fax_number": "303-424-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY J. WACHUTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "WACHUTA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-425-5100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.