NPIMap

Organization Active NPI

Hampden Dentistry, PC

  • Dentist
  • Denver, CO
National Provider Identifier
1942600366
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10010 Issued in CO
Legal business name
HAMPDEN DENTISTRY, PC
Practice address
616 S York St
Denver, CO 80209
Phone
(719) 650-9525
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Nicholas Theodore GagnerNPI 1306078019
Title
Owner
Phone
(719) 650-9525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10010 CO Primary

Addresses

Primary practice location

616 S York St
Denver, CO 80209

Mailing address

616 S York St
Denver, CO 80209-4643
Phone (719) 650-9525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1942600366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094643",
            "telephone_number": "719-650-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "719-650-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPDEN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "GAGNER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-650-9525"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "10010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.