Active NPI
Gretchen Villamil-Diaz, DDS
- General Practice Dentistry
- Lakewood, CO
National Provider Identifier
1730972050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00206318
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00206318 | CO | MD | General 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.