Individual provider Active NPI

Ethan Wire, DMD

  • Dentist
  • Westminster, CO
National Provider Identifier
1356917587
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00204704 Issued in CO
Practice address
10835 Dover St Ste 1200
Westminster, CO 80021-5562
Phone
(303) 425-6565
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00204704 CO Primary

Addresses

Primary practice location

10835 Dover St Ste 1200
Westminster, CO 80021-5562

Mailing address

2210 E Mississippi Ave Unit 1
Denver, CO 80210-1922

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
DEN.00204704COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Open and Affordable Dental Broomfield PLLC Dentist CurrentSince Jun 22, 2021 Accepting new patients
Dural L. Parish DDS PC Dentist PastSince Jun 22, 2021 Accepting new patients

Locations

10835 Dover St
Ste 1200
Westminster, CO 80021
Phone (303) 425-6565

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1356917587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E MISSISSIPPI AVE UNIT 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 DOVER ST STE 1200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215562",
            "telephone_number": "303-425-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRE",
        "first_name": "ETHAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00204704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.