Paul Dennis Regan, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

104994 Issued in CO

Practice address

30960 Stagecoach Blvd
W100
Evergreen, CO 80439-7902

Phone

(303) 674-1122

Fax

(303) 670-7071

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• D Malcolm Strange DDS MSD PC

  • Pediatric Dentistry
  • Evergreen, CO
  • NPI 1922121631
  NPD (past)
• Pediatric Dental Group of Evergreen

  • Pediatric Dentistry
  • Evergreen, CO
  • NPI 1619774528
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891887402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30960 STAGECOACH BLVD",
            "address_2": "W100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397902",
            "telephone_number": "303-674-1122",
            "fax_number": "303-670-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30960 STAGECOACH BLVD",
            "address_2": "W100",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397902",
            "telephone_number": "303-674-1122",
            "fax_number": "303-670-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "PAUL",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "104994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Rasmussen, PA-C
• Jeannine Beebe Rauch, PT
• Kari Read, LSW
• Rebecca Kennedy LLC
• Meagan Leigh Reeves, FNP-BC
• Rehabcare
• Christine Renner
• Sheila Ricewatkins, DVM
• Ridgeline Physical Therapy
• Whitney Roberts, MS, LMFT

• All providers in Evergreen, CO
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.