Active NPI
Joshua Grant Wagner, D.D.S.
- Dentist
- Littleton, CO
National Provider Identifier
1528182680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202788
- Practice address
- 7456 S Simms St
Ste a-1
Littleton, CO 80127-3286 - Phone
- (720) 981-5868
- Fax
- (720) 981-5809
- NPI assigned
- Mar 16, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1093 | WY | |
| Dentist | 122300000X | 00202788 | CO | Primary |
Addresses
Primary practice location
7456 S Simms St
Ste a-1
Littleton, CO 80127-3286
Mailing address
7456 S Simms St
Ste a-1
Littleton, CO 80127-3286
Phone (720) 981-5868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00202788 | CO | MD | Dentist |
| 1093 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Modern Dentistry and Orthodontics, LLP | General Practice | 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 and National Provider Directory roles.
-
dba Littleton Modern Dentistry and Orthodontics
- General Practice Dentistry
- Littleton, CO
- NPI 1861778110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1528182680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7456 S SIMMS ST",
"address_2": "STE A-1",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801273286",
"telephone_number": "720-981-5868",
"fax_number": "720-981-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7456 S SIMMS ST",
"address_2": "STE A-1",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801273286",
"telephone_number": "720-981-5868",
"fax_number": "720-981-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "JOSHUA",
"middle_name": "GRANT",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WY",
"license": "1093",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00202788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.