Active NPI
Wheat Ridge Family Dental
- Health Maintenance Organization
- Wheat Ridge, CO
National Provider Identifier
1821252230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 2481
- Legal business name
- WHEAT RIDGE FAMILY DENTAL
- Practice address
- 7015 W 38TH Ave
Wheat Ridge, CO 80033-4876 - Phone
- (303) 940-9755
- Fax
- (303) 940-0811
- NPI assigned
- Jul 15, 2008
- Last updated
- Jul 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leopoldo Rodriguez, D.D.S
- Title
- Doctor
- Phone
- (303) 940-9755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 2481 | CO | Primary |
Addresses
Primary practice location
7015 W 38TH Ave
Wheat Ridge, CO 80033-4876
Mailing address
7015 W 38TH Ave
Wheat Ridge, CO 80033-4876
Phone (303) 940-9755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32779755 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1821252230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7015 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334876",
"telephone_number": "303-940-9755",
"fax_number": "303-940-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 W 38TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334876",
"telephone_number": "303-940-9755",
"fax_number": "303-940-0811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHEAT RIDGE FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "LEOPOLDO",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "303-940-9755",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CO",
"license": "2481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32779755",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
- Wheat Ridge Assisted Living Corp (The Retreat at Highlands)
- Wheat Ridge Dental Group PLLC
- Wheat Ridge Dental Partners PLLC (Risas Dental & Braces)
- Wheat Ridge Dentists, LLP (Wheat Ridge Dentists)
- Wheat Ridge Family Clinic PC
- Wheat Ridge Family Dentistry
- Wheat Ridge Foot & Ankle Center, PC (Rocky Mountain Foot & Ankle Center, PC)
- Wheat Ridge General and Vascular Surgical Associates PC
- Wheat Ridge Healthcare LLC (Lakeside Post Acute)
- Wheat Ridge Healthcare LLC (Lakeside Post Acute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.