W.J. Pontarelli, Jr., D.D.S., P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

267 Issued in CO

Legal business name

W.J. PONTARELLI, JR., D.D.S., P.C.

Practice address

15 Wadsworth Blvd
Lakewood, CO 80226-1501

Phone

(303) 936-5998

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

William J. Pontarelli Jr., D.D.S.

Title

President

Phone

(303) 936-5998

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740306166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261501",
            "telephone_number": "303-936-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261501",
            "telephone_number": "303-936-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.J. PONTARELLI, JR., D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONTARELLI  JR.",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-936-5998",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Vu, NP
• An-Thu Vuong
• Vybe Medical Group
• W III, Inc.
• W III, Inc.
• Robert Finley Waadt II, LPCC
• Andrew Waas
• Matthew Adam Wachtman, DPT
• James H Wade, OTD
• Kenneth Vaughn Wadsworth, DDS

• Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.