Mark Allen Wheeler, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6119 Issued in CO

Practice address

899 Highway 287
Suite 100
Broomfield, CO 80020-7000

Phone

(303) 469-6375

Fax

(303) 465-0656

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

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.

• Colorado Gum Care

  • Periodontics
  • Broomfield, CO
  • NPI 1629414677
  NPD (past) Authorized official

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649258666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 RANCH RESERVE RDG",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342693",
            "telephone_number": "303-870-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 HIGHWAY 287",
            "address_2": "SUITE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207000",
            "telephone_number": "303-469-6375",
            "fax_number": "303-465-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Michelle Whalen Price, PT
• Wheat Ridge Regional Center
• Holly Danielle Wheatley, CSFA
• Jenna Marie Wheeler
• Kathryn J Wheeler, RD
• Katie-Beth Whitcomb, MA, LPC
• Benjamin Harrold White, M.D.
• Hayleigh Blake White
• Kelsey J White
• Shirell Renee White, LPC, NCC

• Periodontics in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.