Individual provider Active NPI

Mark Steven Anundsen, DDS

  • Dentist
  • Lakewood, CO
National Provider Identifier
1649263385
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105296 Issued in CO
Practice address
2323 S Wadsworth Blvd
Suite 1778
Lakewood, CO 80227-3275
Phone
(303) 980-4800
Fax
(303) 980-6299
NPI assigned
Aug 29, 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
Dentist 122300000X 105296 CO Primary

Addresses

Primary practice location

2323 S Wadsworth Blvd
Suite 1778
Lakewood, CO 80227-3275

Mailing address

2323 S Wadsworth Blvd
Suite 1778
Lakewood, CO 80227-3275
Phone (303) 980-4800

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
I20170306000305 CO Order and Referring Only - DentistPractitioner - Dentist 4587948849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105296COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Dental Services PLLC PastSince Nov 24, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649263385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S WADSWORTH BLVD",
            "address_2": "SUITE 1778",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273275",
            "telephone_number": "303-980-4800",
            "fax_number": "303-980-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S WADSWORTH BLVD",
            "address_2": "SUITE 1778",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273275",
            "telephone_number": "303-980-4800",
            "fax_number": "303-980-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUNDSEN",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "105296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.