Active NPI
Katherine Takacs
- Dentist
- Lakewood, CO
National Provider Identifier
1629708680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN00205207
- Practice address
- 14710 W Colfax Ave Unit 150
Lakewood, CO 80401-3277 - Phone
- (303) 279-0999
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN00205207 | CO | Primary |
Addresses
Primary practice location
14710 W Colfax Ave Unit 150
Lakewood, CO 80401-3277
Mailing address
9518 W Prairie Grass Way
Franklin, WI 53132-7200
Phone (414) 322-9516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN00205207 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Dentists and Orthodontics, LLP | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Lakewood, CO
- NPI 1295076107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1629708680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9518 W PRAIRIE GRASS WAY",
"city": "FRANKLIN",
"state": "WI",
"postal_code": "531327200",
"telephone_number": "414-322-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14710 W COLFAX AVE UNIT 150",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804013277",
"telephone_number": "303-279-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKACS",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN00205207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.