Individual provider Active NPI

Debra Lee Gander, DDDS, MS

  • Oral and Maxillofacial Radiology Dentistry
  • Greenwood Village, CO
National Provider Identifier
1679099352
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
DEN.00007254 Issued in CO
Practice address
7447 E Berry Ave Ste 230
Greenwood Village, CO 80111-2107
Phone
(303) 741-3300
Fax
(303) 694-6270
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X DEN.00007254 CO Primary

Addresses

Primary practice location

7447 E Berry Ave Ste 230
Greenwood Village, CO 80111-2107

Mailing address

7447 E Berry Ave Ste 230
Greenwood Village, CO 80111-2107

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DEN.00007254COMDOral and Maxillofacial Radiology Dentist

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1679099352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE STE 230",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE STE 230",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112107",
            "telephone_number": "303-741-3300",
            "fax_number": "303-694-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDER",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "CO",
            "license": "DEN.00007254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.