Robert John Wurtzebach, D.D.S., R.PH.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

463 Issued in CO

Practice address

7425 W Hampden Ave
Lakewood, CO 80227-5171

Phone

(303) 969-8989

Fax

(303) 969-8994

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1558461764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 W HAMPDEN AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275171",
            "telephone_number": "303-969-8989",
            "fax_number": "303-969-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 W HAMPDEN AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275171",
            "telephone_number": "303-969-8989",
            "fax_number": "303-969-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZEBACH",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "D.D.S., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "463",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "15445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Beth Wright, LCSW
• M Jennifer Wright, LAC
• Ralph J Wright III, MD
• Karen A Wubben, RN, BSN
• Sophie Wurm, CCH, LHP
• Lynn Wylie
• Andrea Wynn, PMHNP-BC
• Jamie Xiong, APRN, RN
• Qing Xu
• Rachel Yoon Hee Yager, B.S.

• General Practice Dentistry in Lakewood, CO
• Providers in Lakewood, 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 Aug 3, 2007; 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.