Timothy John Wachuta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7007 Issued in CO

Practice address

2709 S Colorado Blvd
Denver, CO 80222

Phone

(303) 756-2770

Fax

(303) 758-5705

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760558308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-756-2770",
            "fax_number": "303-758-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 S COLORADO BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80222",
            "telephone_number": "303-756-2770",
            "fax_number": "303-758-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHUTA",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Wachowski, RN
• Mikayla M Wachsmann, MS, CNS
• Maximillian Wachtel, PH.D.
• Sarah Wachtel, M.D.
• Zachary Charles Wachtl, M.D.
• Chelsea Wade, LCSW
• John Fletcher Wade III, MD
• Larry Allen Wade, M.D.
• Marcus Vincent Wade, BA
• Marley Jordan Wade, RD

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.