Individual provider Active NPI

Jeffrey Burwinkel, DDS

  • Dentist
  • Lakewood, CO
National Provider Identifier
1922840958
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205979 Issued in CO
Practice address
14710 W Colfax Ave Unit 150
Lakewood, CO 80401-3277
Phone
(303) 279-0999
NPI assigned
Jun 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205979 CO Primary

Addresses

Primary practice location

14710 W Colfax Ave Unit 150
Lakewood, CO 80401-3277

Mailing address

11124 Marlette Dr
Cincinnati, OH 45249-2253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241003003726 TX Order and Referring Only - DentistPractitioner - Dentist 6406387216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205979COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Dentists and Orthodontics, LLP Dentist PastSince Jun 16, 2024 Accepting new patients

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1922840958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 MARLETTE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14710 W COLFAX AVE UNIT 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013277",
            "telephone_number": "303-279-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURWINKEL",
        "first_name": "JEFFREY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.