Active NPI
Samuel David Archibald, D.D.S.
- Dentist
- Commerce City, CO
National Provider Identifier
1437347283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9524
- Practice address
- 18335 E 103Rd Ave Unit 101
Commerce City, CO 80022-3103 - Phone
- (303) 286-8700
- Fax
- (303) 286-8701
- NPI assigned
- Oct 5, 2007
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 55186 | CA | |
| Dentist | 122300000X | 9524 | CO | Primary |
Addresses
Primary practice location
18335 E 103Rd Ave Unit 101
Commerce City, CO 80022-3103
Mailing address
18335 E 103Rd Ave Unit 101
Commerce City, CO 80022-3103
Phone (303) 286-8700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9524 | CO | MD | Dentist |
| 55186 | CA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commerce PDC PLLC | 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.
-
- General Practice Dentistry
- Commerce City, CO
- NPI 1316869910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1437347283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18335 E 103RD AVE UNIT 101",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800223103",
"telephone_number": "303-286-8700",
"fax_number": "303-286-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18335 E 103RD AVE UNIT 101",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800223103",
"telephone_number": "303-286-8700",
"fax_number": "303-286-8701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "SAMUEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "55186",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.