Richard Todd Waterman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7576 Issued in CO

Practice address

5240 W 9TH Street Dr Ste 100
Greeley, CO 80634-4480

Phone

(970) 353-5262

Fax

(970) 353-5266

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679660120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 64TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347906",
            "telephone_number": "970-339-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 W 9TH STREET DR STE 100",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344480",
            "telephone_number": "970-353-5262",
            "fax_number": "970-353-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "RICHARD",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asa Foltmer Ware, MD
• Kristen Marie Warman, MCD CCC SLP
• Jason Warncke, M.D.
• Kathryn Warner, LPC, CAC III
• Angela S Warwick, BA
• Garrett R Watkins
• Rachel M Watson, BA, CAC III
• Mary M Watters, MA, LPC
• Kyle B Waugh, MD
• Cecil H Wayman Jr., MA

• General Practice Dentistry in Greeley, CO
• Providers in Greeley, 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 Jul 8, 2007; 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.