Douglas Raines Sewell, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10670 Issued in CO

Practice address

1100 S Colorado Blvd
Glendale, CO 80246-3003

Phone

(303) 758-0575

NPI assigned

Feb 26, 2008

Last updated

Jun 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Cherry Creek Modern Dentistry, LLP

  dba Cherry Creek Modern Dentistry

  • General Practice Dentistry
  • Glendale, CO
  • NPI 1508197732
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1427227297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S. COLORADO BLVD",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "80246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COLORADO BLVD",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463003",
            "telephone_number": "303-758-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "DOUGLAS",
        "middle_name": "RAINES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO36948",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Sanderson
• Denise Michelle Schmidt
• Jennifer Anne Schroeder, LCSW
• Richard D Sego, LMT
• David A Severance, M.D
• Brenna L Shannon, PHARM.D
• Emily Rose Shattuck, DPT
• Teresa Shultz, PT, DPT
• Ondre Breyon Smith, DPT
• Sol Counseling, PLLC (So(u)l Counseling & Studio)

• Dentist in Glendale, CO
• Providers in Glendale, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.