NPIMap

Organization Active NPI

Gregory B Waters, DDS, PC

  • Dental Clinic/Center
  • Arvada, CO
National Provider Identifier
1548473697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8157 Issued in CO
Legal business name
GREGORY B WATERS, DDS, PC
Practice address
8850 W 58TH Ave
Suite 104
Arvada, CO 80002-2252
Phone
(303) 420-3233
Fax
(303) 421-1615
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory B Waters, DDSNPI 1093790461
Title
President
Phone
(303) 420-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8157 CO Primary

Addresses

Primary practice location

8850 W 58TH Ave
Suite 104
Arvada, CO 80002-2252

Mailing address

8850 W 58TH Ave
Suite 104
Arvada, CO 80002-2252
Phone (303) 420-3233

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548473697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 W 58TH AVE",
            "address_2": "SUITE 104",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022252",
            "telephone_number": "303-420-3233",
            "fax_number": "303-421-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 W 58TH AVE",
            "address_2": "SUITE 104",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022252",
            "telephone_number": "303-420-3233",
            "fax_number": "303-421-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY B WATERS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-420-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "8157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.