Carolyn Watt Mauterer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9003 Issued in CO

Practice address

2800 E 136TH Ave
Thornton, CO 80241

Phone

(720) 872-2892

Fax

(720) 872-2894

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Watt Seabury Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1558445361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E. 136TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80241",
            "telephone_number": "720-872-2892",
            "fax_number": "720-872-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E 136TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80241",
            "telephone_number": "720-872-2892",
            "fax_number": "720-872-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUTERER",
        "first_name": "CAROLYN",
        "middle_name": "WATT",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SEABURY",
            "middle_name": "WATT",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Ann Mattingley, O.T.R.
• Jordan Matus, M.D.
• Laura A Maugel, PA-C
• Joann Irene Maule, MA,BSN, RN, CARN
• Aleisha Marie Maunu, M.A., LMFT
• Jarod Maxson, PT, DPT
• Daniel Taylor Maxwell, PTA
• Jeffrey Joseph Maxwell, PTA
• Rachel Maxwell, PT, DPT
• John A May, OD

• General Practice Dentistry in Thornton, CO
• Providers in Thornton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.