Individual provider Active NPI

Annika Van Der Werf, DDS

  • Periodontics
  • Westminster, CO
National Provider Identifier
1295396745
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
00204926 Issued in CO
Practice address
13533 Huron St Ste 300
Westminster, CO 80234-1160
Phone
(303) 450-3144
NPI assigned
Jun 25, 2019
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 00204926 CO Primary

Addresses

Primary practice location

13533 Huron St Ste 300
Westminster, CO 80234-1160

Mailing address

1055 17TH Ave Ste 101
Longmont, CO 80501-2647
Phone (303) 678-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00204926COMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1295396745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 17TH AVE STE 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805012647",
            "telephone_number": "303-678-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13533 HURON ST STE 300",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341160",
            "telephone_number": "303-450-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER WERF",
        "first_name": "ANNIKA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00204926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.