Individual provider Active NPI

Thomas Eric Ouellette, DDS

  • Dentist
  • Denver, CO
National Provider Identifier
1740288596
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6952 Issued in CO
Practice address
1391 Speer Blvd Ste 540
Denver, CO 80204-2571
Phone
(303) 296-1402
Fax
(303) 293-8729
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6952 CO Primary

Addresses

Primary practice location

1391 Speer Blvd Ste 540
Denver, CO 80204-2571

Mailing address

1391 Speer Blvd Ste 540
Denver, CO 80204-2571
Phone (303) 296-1402

Other practice location 1

1905 Lawrence St
Ste C
Denver, CO 80202-1840
Phone (303) 296-1402

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drtom@lododentist.com Health Information Exchange (HIE)

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
6952COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas E Ouellette DDS PC CurrentSince Mar 16, 2021 Accepting new patients

Locations

1905 Lawrence St
Unit C
Denver, CO 80202
Phone (303) 296-1402

1391 Speer Blvd
Ste 540
Denver, CO 80204
Phone (303) 296-1402

Organizations & group practices 1

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1740288596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 SPEER BLVD STE 540",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042571",
            "telephone_number": "303-296-1402",
            "fax_number": "303-293-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 SPEER BLVD STE 540",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042571",
            "telephone_number": "303-296-1402",
            "fax_number": "303-293-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Lawrence St",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021840",
            "country_code": "US",
            "telephone_number": "303-296-1402",
            "fax_number": "303-293-8729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "THOMAS",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drtom@lododentist.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1391 Speer Blvd Ste 540",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802042571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.