Wade Murray Elton, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202963 Issued in CO

Practice address

2620 Tenderfoot Hill St Ste 210
Colorado Springs, CO 80906-8356

Phone

(719) 597-7979

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Star Dental Institute Inc

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1881255107
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1710432885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 15TH ST APT 22C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022310",
            "telephone_number": "320-262-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 TENDERFOOT HILL ST STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809068356",
            "telephone_number": "719-597-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTON",
        "first_name": "WADE",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202963",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Elmore
• Joshua Daniel Elrod, DPT
• Lauren Elsberry
• Barbara Elstun
• Heide Moore Elsworth, LMT, CNMT, CNB
• Jayci Elways
• Stacey Elwell
• Diane Lynn Elwer, D.C.
• Kent Ely, MSPT
• Delshad Emami

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.