Individual provider Active NPI

Adam Thomas Gainford, DDS

  • Student in an Organized Health Care Education/Training Program
  • Denver, CO
National Provider Identifier
1982120424
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
DDS101848 Issued in CA
Practice address
301 W 6TH Ave
Denver, CO 80204-5182
Phone
(303) 602-8241
NPI assigned
Aug 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS101848 CA
Dentist 122300000X 00205077 CO
Student in an Organized Health Care Education/Training Program 390200000X DDS101848 CA Primary

Addresses

Primary practice location

301 W 6TH Ave
Denver, CO 80204-5182

Mailing address

2170 Bryant St Apt 108
Denver, CO 80211-4827
Phone (720) 635-0735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20251110003089 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486144110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00205077COMDDentist
DDS101848CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1982120424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 BRYANT ST APT 108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114827",
            "telephone_number": "720-635-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 6TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802045182",
            "telephone_number": "303-602-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINFORD",
        "first_name": "ADAM",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101848",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205077",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "DDS101848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.