Individual provider Active NPI

Gary Clinton Saddler, DDS

  • General Practice Dentistry
  • Denver, CO
National Provider Identifier
1255474847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7497 Issued in CO
Practice address
4901 W 38TH Ave
Denver, CO 80212-2025
Phone
(303) 455-2273
Fax
(303) 455-6053
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7497 CO Primary

Addresses

Primary practice location

4901 W 38TH Ave
Denver, CO 80212-2025

Mailing address

24039 Shooting Star Dr
Golden, CO 80401-9147
Phone (303) 526-1807

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

LicenseStateTypeSpecialty
7497COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255474847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24039 SHOOTING STAR DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019147",
            "telephone_number": "303-526-1807",
            "fax_number": "303-526-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122025",
            "telephone_number": "303-455-2273",
            "fax_number": "303-455-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDLER",
        "first_name": "GARY",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.