Erik Gustafson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00204811 Issued in CO

Practice address

12600 W Colfax Ave Ste B160
Lakewood, CO 80215-3754

Phone

(303) 237-0307

NPI assigned

Aug 4, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1659045540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15303 W BAYAUD CT",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016562",
            "telephone_number": "303-518-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE B160",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153754",
            "telephone_number": "303-237-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin R Gunning, MD
• Nancy Ann Gunzner, MS, MA, LMFT, LAC,
• Shikha Gupta, MD
• Jessica Gurrentz, MA, LPCC
• Sharon Marie Gusmus
• Gloria A Gutfeld, R.N.
• Jessica Gutierrez
• Paul Gutowski, D.O.
• Brandon Guzie, PA-C
• Juan Francisco Guzman

• 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 4, 2021; 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.