PEGGY ANN DERLOSHON (NPI# 1336316579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336316579 |
| Entity Type | Individual |
| Full Name | PEGGY ANN DERLOSHON |
| Credential | DDS |
| Practice Address |
120 Bristlecone Dr Fort Collins CO 80524-2031 |
| Practice Telephone | 9702245209 |
| Practice Fax Number | 9702217165 |
| Mailing Telephone | 9702245209 |
| Mailing Fax Number | 9702217165 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
6629 | CO | Dental Providers |
| Street Address |
120 BRISTLECONE DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80524-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092495 | Health Services District of Northern Larimer County | Clinic/Center | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2005-06-10 |
| 1205494077 | Julie Hoest-abramoff | Registered Nurse | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2019-06-05 |
| 1558511931 | Stephanie Nelms | Dentist | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2008-09-23 |
| 1104850379 | Brad W Eckhardt | Dentist | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2006-07-11 |
| 1083669378 | Zeljko M Ivanovic | Psychiatry & Neurology | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2006-05-24 |
| 1790769230 | Bruce David Cooper | Family Medicine | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084612 | Summitstone Health Partners | Clinic/Center | 1008 Patton St., Fort Collins, CO 80524 | 2020-08-20 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| 1215561857 | Transform The Nest LLC | Social Worker | 405 A Matthews Street, Fort Collins, CO 80524 | 2020-02-22 |
| 1326671413 | Laura Ann Doyle | Registered Nurse | 8775 County Road 80.5 # 5, Fort Collins, CO 80524 | 2020-02-17 |
| 1013496835 | Stepheny Nicol Chapple | Psychologist | 701 S College Drive, 201, Fort Collins, CO 80524 | 2018-08-13 |
| 1609372432 | Tracy Jo Close | Counselor | 1031 Robinson Street, Fort Collins, CO 80524 | 2018-04-02 |
| 1831617828 | Rachel Elizabeth Brenner | Counselor | 151 W Lake Rd, Csu Health Network Counseling Services, Fort Collins, CO 80524 | 2017-08-30 |
| 1205366820 | Victoria Marie Sechser | Specialist/Technologist | 1102 Peterson St, Fort Collins, MN 80524 | 2017-06-15 |
| 1013367705 | Smith Street LLC | Day Training, Developmentally Disabled Services | 308 Smith St., Fort Collins, CO 80524 | 2016-06-14 |
| 1811344989 | Ignite Speech-language Services | Clinic/Center | 3921 Celtic Lane, Fort Collins, CO 80524 | 2016-05-18 |
| Find all providers in zip 80524 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457759177 | Andrew R. Mortensen, D.m.d., P.C. | Dentist | 1040 E Elizabeth St, Suite 201, Fort Collins, CO 80524-3951 | 2014-12-11 |
| 1104850379 | Brad W Eckhardt | Dentist | 120 Bristlecone Dr, Fort Collins, CO 80524-2031 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891281747 | Community Health Services, Inc. | Dentist | 0405 Castle Creek Rd., Suite 6, Aspen, CO 81611 | 2018-07-03 |
| 1215113402 | Total Oral Prevention Strategies | Dentist | 3216 High St, Denver, CO 80205-4062 | 2008-01-17 |
| 1386828929 | Hanh H Phi | Dentist | 199 Quebec St Unit B, Denver, CO 80220-6186 | 2007-12-18 |
| 1932175346 | Community Dental Clinic, Inc. | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2006-02-24 |
| 1558360073 | Casey Lee Kochevar | Dentist | 1446 Hover Street, Suite #100, Longmont, CO 80501 | 2005-07-18 |
| 1407855117 | Melissa Ann Musolf | Dentist | 6140 Tutt Blvd, Suite 150, Colorado Springs, CO 80922-3575 | 2005-07-15 |
| 1548269269 | James B. Moses | Dentist | 6000 E Evans Ave, Bld 3 Suite 200, Denver, CO 80222-5406 | 2005-07-14 |
| 1326046137 | Kenneth S Lahr | Dentist | 19423 N Turkey Creek Rd, Morrison, CO 80465-8902 | 2005-07-14 |
| 1659378701 | Dennis James Lewis | Dentist | 877 South Boulder Road, Louisville, CO 80027-1345 | 2005-07-05 |
| 1265067425 | Mobile Outreach Alliance | Dentist | 8422 W 78th Cir, Arvada, CO 80005-4407 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80524 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.