NPIMap

Organization Active NPI

Wheat Ridge Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Wheat Ridge, CO
National Provider Identifier
1821146523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
104923 Issued in CO
Legal business name
WHEAT RIDGE ORAL SURGERY
Practice address
7760 W 38TH Ave
Ste. 102
Wheat Ridge, CO 80033-6136
Phone
(303) 421-4010
Fax
(303) 423-9051
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony Musella, DDSNPI 1225161417
Title
President
Phone
(303) 421-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 104923 CO Primary

Addresses

Primary practice location

7760 W 38TH Ave
Ste. 102
Wheat Ridge, CO 80033-6136

Mailing address

7760 W 38TH Ave
Ste. 102
Wheat Ridge, CO 80033-6136
Phone (303) 421-4010

National Provider Directory

National Provider Directory

Locations

7760 W 38th Ave
Ste 102
Wheat Ridge, CO 80033
Phone (303) 421-4010

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821146523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 W 38TH AVE",
            "address_2": "STE. 102",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336136",
            "telephone_number": "303-421-4010",
            "fax_number": "303-423-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 W 38TH AVE",
            "address_2": "STE. 102",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336136",
            "telephone_number": "303-421-4010",
            "fax_number": "303-423-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEAT RIDGE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUSELLA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-421-4010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "104923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • 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.