Individual provider Active NPI

Gretchen Villamil-Diaz, DDS

  • General Practice Dentistry
  • Lakewood, CO
National Provider Identifier
1730972050
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00206318 Issued in CO
Practice address
275 S Sheridan Blvd Ste 114
Lakewood, CO 80226-2401
Phone
(720) 638-9797
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 DEN.00206318 CO Primary

Addresses

Primary practice location

275 S Sheridan Blvd Ste 114
Lakewood, CO 80226-2401

Mailing address

6253 W Jewell Ave Unit 151
Lakewood, CO 80232-7109
Phone (305) 494-1030

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
DEN.00206318COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1730972050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6253 W JEWELL AVE UNIT 151",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802327109",
            "telephone_number": "305-494-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S SHERIDAN BLVD STE 114",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262401",
            "telephone_number": "720-638-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIL-DIAZ",
        "first_name": "GRETCHEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00206318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.