Active NPI
Grace Michelle Diehl, DDS
- Pediatric Dentistry
- Westminster, CO
National Provider Identifier
1992200836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00203581
- Practice address
- 5150 W 80TH Ave
Westminster, CO 80030-4449 - Phone
- (303) 427-1951
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN.00203581 | CO | Primary |
Addresses
Primary practice location
5150 W 80TH Ave
Westminster, CO 80030-4449
Mailing address
5150 W 80TH Ave
Westminster, CO 80030-4449
Phone (034) 271-9513
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 |
|---|---|---|---|
| DEN.00203581 | CO | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688256000000",
"number": "1992200836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 W 80TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800304449",
"telephone_number": "034-271-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 W 80TH AVE",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800304449",
"telephone_number": "303-427-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "GRACE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2023-07-02",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00203581",
"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 Jul 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.