Individual provider Active NPI

William R Pike

  • General Practice Dentistry
  • Estes Park, CO
National Provider Identifier
1639169246
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104438 Issued in CO
Practice address
600 S Saint Vrain Ave
Suite 3
Estes Park, CO 80517-5422
Phone
(970) 586-9434
NPI assigned
Oct 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104438 CO Primary

Addresses

Primary practice location

600 S Saint Vrain Ave
Suite 3
Estes Park, CO 80517-5422

Mailing address

600 S Saint Vrain Ave
Suite 3
Estes Park, CO 80517-5422
Phone (970) 586-9434

Other identifiers 2

IdentifierTypeStateIssuer
51135OtherCOBCBS
02044386MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160914001785 CO Order and Referring Only - DentistPractitioner - Dentist 2163718321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104438COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1639169246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S SAINT VRAIN AVE",
            "address_2": "SUITE 3",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805175422",
            "telephone_number": "970-586-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S SAINT VRAIN AVE",
            "address_2": "SUITE 3",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805175422",
            "telephone_number": "970-586-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51135",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02044386",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

Verify at the official NPI Registry.