Nicholas Theodore Gagner, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00010010 Issued in CO

Practice address

616 S York St
Denver, CO 80209-4643

Phone

(719) 650-9525

NPI assigned

Aug 13, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ngagner258696@direct.dhha.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denver Health and Hospital Authority

  • General Practice Physician
  • Denver, CO
  • NPI 1477569838

  CO

  Medicare reassignment NPD
• Hampden Dentistry, PC

  • Dentist
  • Denver, CO
  • NPI 1942600366
  NPD Authorized official
• Denver Health and Hospital Authority

  • Psychiatric Hospital Unit
  • Denver, CO
  • NPI 1689624942
  NPD
• Hampden Dental Loft

  • General Practice Dentistry
  • Denver, CO
  • NPI 1740844588
  NPD (past)
• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1902005382
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1306078019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094643",
            "telephone_number": "719-650-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094643",
            "telephone_number": "719-650-9525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Bannock St # L",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044506",
            "country_code": "US",
            "telephone_number": "303-436-4949",
            "fax_number": "303-436-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNER",
        "first_name": "NICHOLAS",
        "middle_name": "THEODORE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00010010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24509795",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Gafford, PH.D.
• Alexandra Gagas, SLP- 235Z00000X
• Jeremy Gage
• Joel Michael Gagliano, LAC
• Nicolette Gagliano, C.N.S.
• Amy J Gagnon, MD
• Lindsey Gagnon
• Andrew Gai, LPCC
• Gaia Care LLC
• Benjamin Gaibel, LCSW

• All providers in Denver, CO
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.