Westminster Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

8478 Issued in CO

Legal business name

WESTMINSTER DENTAL PC

Practice address

8300 Alcott St
205
Westminster, CO 80031-4008

Phone

(303) 426-6662

Fax

(303) 426-1530

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Ronald Van WagenenNPI 1669482097

Title

President

Phone

(303) 426-6662

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Ronald Vanwagenen, D.D.S.

  • General Practice Dentistry
  • Federal Heights, CO
  • NPI 1669482097
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1528210606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ALCOTT ST",
            "address_2": "205",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314008",
            "telephone_number": "303-426-6662",
            "fax_number": "303-426-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 ALCOTT ST",
            "address_2": "205",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800314008",
            "telephone_number": "303-426-6662",
            "fax_number": "303-426-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMINSTER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "VAN WAGENEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-426-6662"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westmed Primary Care (Westmed Family Healthcare)
• Westminster Behavioral Health, LLC (Boulder Creek Recovery)
• Westminster Chiropractic Corp
• Westminster Dental and Orthodontics PLLC (Rodeo Dental and Orthodontics)
• Westminster Dental Care PLLC
• Westminster Group Health, LLC
• Westminster Medical Investors, LLC (Life Care Center of Westminster)
• Westminster Public Schools
• Westminster Renal Dialysis LLC (Kidney Center of Northridge)
• Westminster, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.