Healthcare Provider Details

I. General information

NPI: 1770296535
Provider Name (Legal Business Name): DREAMWORK ANESTHESIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2022
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 RIDGEGATE PKWY
LONE TREE CO
80124-5522
US

IV. Provider business mailing address

6120 MAROON PEAK PL
CASTLE ROCK CO
80108-9483
US

V. Phone/Fax

Practice location:
  • Phone: 303-880-5250
  • Fax:
Mailing address:
  • Phone: 303-880-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LIZ HUSSEY
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 469-437-3564