Individual provider Active NPI

Walt Kevin Vogl, DDS

  • Dentist
  • Castle Rock, CO
National Provider Identifier
1952460875
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8793 Issued in CO
Practice address
2 Oakwood Park PLZ
Suite 206
Castle Rock, CO 80104-1884
Phone
(303) 663-9600
Fax
(303) 663-9627
NPI assigned
Dec 6, 2006
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8793 CO Primary
General Practice Dentistry 1223G0001X 55148 CA

Addresses

Primary practice location

2 Oakwood Park PLZ
Suite 206
Castle Rock, CO 80104-1884

Mailing address

2 Oakwood Park PLZ
Suite 206
Castle Rock, CO 80104-1884
Phone (303) 663-9600

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
8793COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Linda C Ludin DDS PC Dentist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1952460875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ",
            "address_2": "SUITE 206",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041884",
            "telephone_number": "303-663-9600",
            "fax_number": "303-663-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD PARK PLZ",
            "address_2": "SUITE 206",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041884",
            "telephone_number": "303-663-9600",
            "fax_number": "303-663-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGL",
        "first_name": "WALT",
        "middle_name": "KEVIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8793",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.