Individual provider Active NPI

Nathan Gunning, DDS

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1821422940
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
203131 Issued in CO
Practice address
17805 Cottonwood Dr Unit 115
Parker, CO 80134-3952
Phone
(720) 722-3792
Fax
(575) 356-8516
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 203131 CO Primary

Addresses

Primary practice location

17805 Cottonwood Dr Unit 115
Parker, CO 80134-3952

Mailing address

17805 Cottonwood Dr Unit 115
Parker, CO 80134-3952
Phone (720) 722-3792

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
203131COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Gunning, DDS, PLLC General Practice Current Accepting new patients

Locations

17805 Cottonwood Dr
Unit 115
Parker, CO 80134
Phone (720) 722-3792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1821422940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17805 COTTONWOOD DR UNIT 115",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343952",
            "telephone_number": "720-722-3792",
            "fax_number": "575-356-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17805 COTTONWOOD DR UNIT 115",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343952",
            "telephone_number": "720-722-3792",
            "fax_number": "575-356-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNING",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "203131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.