Jack Varga Hadwin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00205574 Issued in CO

Practice address

3303 W 144TH Ave Unit 100
Broomfield, CO 80023-9464

Phone

(720) 308-9798

NPI assigned

May 16, 2023

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Valley Modern Dentists, LLP

  dba Valley Modern Dentists

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1730496969
  NPD (past)

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1861183352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W 144TH AVE UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239464",
            "telephone_number": "720-308-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W 144TH AVE UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239464",
            "telephone_number": "720-308-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 17th St Ste B-190",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802651050",
            "country_code": "US",
            "telephone_number": "720-730-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADWIN",
        "first_name": "JACK",
        "middle_name": "VARGA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspen Gupton, CCC-SLP
• Michael Dean Gusack, LPC
• Nashalie Gutierrez, RBT
• Martha Ha, D.D.S
• Urjoomund Habeeb, CNIM
• Edward M Hagen, OD
• Audrey Jo Haimes, NP-C
• Megan Halajian, PHARMD
• Emma Sullivan Halfacre, M.A. CCC-SLP
• Mackenzie Hall, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.