Daryl Jorge Gasca, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

00202145 Issued in CO

Practice address

1044 Hidden Valley Dr
Glenwood Springs, CO 81601-8548

Phone

(720) 648-7020

NPI assigned

Feb 4, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1992129456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 HIDDEN VALLEY DR",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018548",
            "telephone_number": "720-648-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 HIDDEN VALLEY DR",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816018548",
            "telephone_number": "720-648-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASCA",
        "first_name": "DARYL",
        "middle_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00202145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garfield County Public Health
• Garfield County Public Health
• Garfield Youth Services
• James Robert Garland Jr., M.A.
• Nancy Garrison, LPCC
• Dean James Gautreau Jr., MSN RN
• Timothy Christpher Gay, RNFA
• Christopher Arthur George, MD
• Margaret Gertzog
• Bonnie Gilbert

• Periodontics in Glenwood Springs, CO
• Providers in Glenwood Springs, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.