Individual provider Active NPI

Nathan A Wecker, DMD

  • Dentist
  • Arvada, CO
National Provider Identifier
1356865661
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00203967 Issued in CO
Practice address
7502 W 80TH Ave Ste 100
Arvada, CO 80003-2139
Phone
(303) 421-0641
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10688 OR
Dentist 122300000X DEN.00203967 CO Primary

Addresses

Primary practice location

7502 W 80TH Ave Ste 100
Arvada, CO 80003-2139

Mailing address

7502 W 80TH Ave Ste 100
Arvada, CO 80003-2139
Phone (303) 421-0641

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00203967COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Dental Sleep, LLC Dentist Past Accepting new patients
Rocky Mountain Dental Sleep, LLC General Practice PastSince Jul 5, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1356865661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 W 80TH AVE STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032139",
            "telephone_number": "303-421-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 W 80TH AVE STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032139",
            "telephone_number": "303-421-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WECKER",
        "first_name": "NATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10688",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.