Individual provider Active NPI

David Takashi Sugiyama, D.D.S.

  • Dentist
  • Castle Rock, CO
National Provider Identifier
1396052619
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10253 Issued in CO
Practice address
1189 S Perry St Ste 250
Castle Rock, CO 80104-1959
Phone
(303) 688-3398
NPI assigned
Sep 8, 2010
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10253 CO Primary

Addresses

Primary practice location

1189 S Perry St Ste 250
Castle Rock, CO 80104-1959

Mailing address

4284 Trail Boss Dr Ste 110
Castle Rock, CO 80104-7521
Phone (303) 688-3398

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10253COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
C, Graf Cornish DDS PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1396052619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4284 TRAIL BOSS DR STE 110",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047521",
            "telephone_number": "303-688-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 S PERRY ST STE 250",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041959",
            "telephone_number": "303-688-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIYAMA",
        "first_name": "DAVID",
        "middle_name": "TAKASHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.