Adam Matthew Staffen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00204042 Issued in CO

Practice address

7015 W 38TH Ave
Wheat Ridge, CO 80033-4876

Phone

(303) 940-9755

NPI assigned

Apr 18, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peregrine Pacific Anesthesia PLLC

  • Anesthesiology Physician
  • Seattle, WA
  • NPI 1891065595
  NPD (past)
• Winston & Letwin DDS, PLLC

  • General Practice Dentistry
  • Seattle, WA
  • NPI 1669655767
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1992292676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4472 YATES ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122427",
            "telephone_number": "703-795-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334876",
            "telephone_number": "303-940-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFEN",
        "first_name": "ADAM",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00204042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A Spott, NP
• Deanie J Spurlock-Gebhard
• Megann Jeanne St John, M.A.
• Melissa St. Clair, LPC
• Michael John Stackpool, M.D.
• Sheila Maureen Stanley, PSY.D.
• Barbara A Stano
• Megan Starling
• Mary Jo Starmer, M.F.T.
• Katie Stasiowski

• General Practice Dentistry in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.