Individual provider Active NPI

Erica Ann Odegard, DDS

  • Dentist
  • Littleton, CO
National Provider Identifier
1710625678
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00205495 Issued in CO
Practice address
26 W Dry Creek Cir Ste 760
Littleton, CO 80120-8066
Phone
(303) 224-0400
Fax
(303) 224-0600
NPI assigned
May 21, 2022
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00205495 CO Primary

Addresses

Primary practice location

26 W Dry Creek Cir Ste 760
Littleton, CO 80120-8066

Mailing address

26 W Dry Creek Cir Ste 760
Littleton, CO 80120-8066
Phone (701) 212-6886

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

State licenses

LicenseStateTypeSpecialty
00205495COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Dentistry PLLC PastSince Sep 11, 2022 Accepting new patients
Tricia Doukas PastSince Sep 23, 2024 Accepting new patients

Organizations & group practices 2

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": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1710625678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 760",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208066",
            "telephone_number": "701-212-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W DRY CREEK CIR STE 760",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208066",
            "telephone_number": "303-224-0400",
            "fax_number": "303-224-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEGARD",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.