Active NPI
Robert Stephen Judd, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Westminster, CO
National Provider Identifier
1972963833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 00202752
- Practice address
- 8749 Wadsworth Blvd
Westminster, CO 80003-0907 - Phone
- (303) 424-5463
- NPI assigned
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 00202752 | CO | Primary |
Addresses
Primary practice location
8749 Wadsworth Blvd
Westminster, CO 80003-0907
Mailing address
8749 Wadsworth Blvd
Westminster, CO 80003-0907
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00202752 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Teeth - 88TH & Wadsworth P.C. | Past | Accepting new patients | |
| Dental Aid, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Louisville, CO
- NPI 1568473858
-
- General Practice Dentistry
- Arvada, CO
- NPI 1508987900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1972963833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8749 WADSWORTH BLVD",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800030907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8749 WADSWORTH BLVD",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800030907",
"telephone_number": "303-424-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "00202752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.