Individual provider Active NPI

Douglas Whetten, DDS

  • General Practice Dentistry
  • Strasburg, CO
National Provider Identifier
1720493240
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00202248 Issued in CO
Practice address
56620 E Colfax Ave
Strasburg, CO 80136
Phone
(303) 622-6200
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 00202248 CO Primary

Addresses

Primary practice location

56620 E Colfax Ave
Strasburg, CO 80136

Mailing address

PO Box 1041
Strasburg, CO 80136-1041
Phone (303) 622-6200

Other practice location 1

20250 E Smoky Hill Rd
Unit 5
Centennial, CO 80015-3118
Phone (303) 400-9700

Other practice location 2

20250 E Smoky Hill Rd
Unit 5
Centennial, CO 80015-3118
Phone (303) 400-9700

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
00202248COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Strasburg Family Dental, PLLC General Practice CurrentSince Dec 1, 2024 Accepting new patients
Plains Performance Dentistry, PC PastSince Dec 15, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720493240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "STRASBURG",
            "state": "CO",
            "postal_code": "801361041",
            "telephone_number": "303-622-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56620 E COLFAX AVE",
            "city": "STRASBURG",
            "state": "CO",
            "postal_code": "80136",
            "telephone_number": "303-622-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20250 E Smoky Hill Rd",
            "address_2": "Unit 5",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800153118",
            "country_code": "US",
            "telephone_number": "303-400-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20250 E Smoky Hill Rd",
            "address_2": "Unit 5",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800153118",
            "country_code": "US",
            "telephone_number": "303-400-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHETTEN",
        "first_name": "DOUGLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00202248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strasburg, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.