Active NPI
David K Wetherington, DDS
- Dentist
- Thornton, CO
National Provider Identifier
1235128125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51673
- Practice address
- 550 Thornton Pkwy Unit 240B
Thornton, CO 80229 - Phone
- (303) 650-5800
- NPI assigned
- Oct 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51673 | CA | Primary |
Addresses
Primary practice location
550 Thornton Pkwy Unit 240B
Thornton, CO 80229
Mailing address
789 5TH St
Golden, CO 80403-1457
Phone (209) 484-0310
Other practice location 1
52nd Dental squadron/ SGD
Unit 3690
Apo, AE 09126-6390
DE
Phone 011496565958676
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 |
|---|---|---|---|
| 51673 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235128125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 5TH ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031457",
"telephone_number": "209-484-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 THORNTON PKWY UNIT 240B",
"city": "THORNTON",
"state": "CO",
"postal_code": "80229",
"telephone_number": "303-650-5800"
}
],
"practiceLocations": [
{
"address_1": "52nd Dental squadron/ SGD",
"address_2": "Unit 3690",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "091266390",
"country_code": "DE",
"telephone_number": "011496565958676",
"country_name": "Germany",
"address_type": "FGN"
}
],
"basic": {
"last_name": "WETHERINGTON",
"first_name": "DAVID",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.