Individual provider Active NPI

Christopher J Gillette, DMD

  • General Practice Dentistry
  • Arvada, CO
National Provider Identifier
1760761720
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00203070 Issued in CO
Practice address
5610 Ward Rd Ste 120
Arvada, CO 80002-1309
Phone
(303) 420-4001
NPI assigned
Aug 9, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-4389 ID
General Practice Dentistry 1223G0001X DEN.00203070 CO Primary

Addresses

Primary practice location

5610 Ward Rd Ste 120
Arvada, CO 80002-1309

Mailing address

5610 Ward Rd Ste 120
Arvada, CO 80002-1309
Phone (303) 420-4001

Other practice location 1

90 Hope Drive
366th Medical Group
Mountain Home AFB, ID 83648
Phone (208) 828-7033

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.00203070COMDGeneral Practice Dentistry
D-4389IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
David Eaton, DDS PC PastSince Jul 24, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760761720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 WARD RD STE 120",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021309",
            "telephone_number": "303-420-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 WARD RD STE 120",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800021309",
            "telephone_number": "303-420-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Hope Drive",
            "address_2": "366th Medical Group",
            "address_purpose": "LOCATION",
            "city": "Mountain Home AFB",
            "state": "ID",
            "postal_code": "83648",
            "country_code": "US",
            "telephone_number": "208-828-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4389",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.