NPIMap

Organization Active NPI

Open and Affordable Dental Arvada PLLC

  • Dentist
  • Wheat Ridge, CO
National Provider Identifier
1538765680
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OPEN AND AFFORDABLE DENTAL ARVADA PLLC
Practice address
4855 Ward Rd Ste 100
Wheat Ridge, CO 80033-1952
Phone
(303) 351-1022
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Gavin Whitman, DDSNPI 1619461100
Title
Owner Doctor
Phone
(509) 554-8244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

4855 Ward Rd Ste 100
Wheat Ridge, CO 80033-1952

Mailing address

7207 Grandview Ave
Arvada, CO 80002-2501

National Provider Directory

National Provider Directory

Locations

4855 Ward Rd
Ste 100
Wheat Ridge, CO 80033
Phone (303) 351-1022

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1538765680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 GRANDVIEW AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WARD RD STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800331952",
            "telephone_number": "303-351-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN AND AFFORDABLE DENTAL ARVADA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "509-554-8244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.