DR. MARILYN VIGIL KETCHAM (NPI# 1881790509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881790509 |
| Entity Type | Individual |
| Full Name | DR. MARILYN VIGIL KETCHAM |
| Credential | DDS |
| Practice Address |
3800 York St Denver CO 80205-3540 |
| Practice Telephone | 3032964873 |
| Mailing Telephone | 3032964873 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6990 | CO | Dental Providers |
| N | 122300000X | Dentist | DD2546 | NM | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02069904 | 05 | |
| CO | COLORADO DENTAL LICENSE | 6990 | 01 |
| NM | DENTAL STATE LICENSE | DD2546 | 01 |
| NM | 87384043 | 05 | |
| NM | BOARD OF PHARMACY NUMBER | CS00210277 | 01 |
| Street Address |
3800 YORK ST |
| City | DENVER |
| State | CO |
| Zip Code | 80205-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912979238 | Krista Lavonas | Pediatrics | 3800 York St, Denver, CO 80205-3540 | 2006-02-02 |
| 1932744828 | Candace Marie Lartigue | Nurse Practitioner | 3800 York St, Denver, CO 80205-3540 | 2019-11-14 |
| 1710380472 | Yasmin Mohebi Hamzeh | Dental Hygienist | 3800 York St, Denver, CO 80205 | 2014-10-08 |
| 1952704603 | Karina Olivia Villagrana | Dental Hygienist | 3800 York St, Inner City Health Center, Denver, CO 80205 | 2014-10-08 |
| 1164847869 | Jennifer Elaine Stevens | Family Medicine | 3800 York St, Denver, CO 80205 | 2014-03-04 |
| 1376986216 | Macy Leigh Kim | Nurse Practitioner | 3800 York St, Denver, CO 80205-3540 | 2013-04-10 |
| 1962767384 | Cody Guy Garrison | Dentist | 3800 York St, Denver, CO 80205-3540 | 2012-07-11 |
| 1790092765 | Kristen Goree | Nurse Practitioner | 3800 York St, Denver, CO 80205-3540 | 2010-09-10 |
| 1578539979 | Inner City Health Center | Clinic/Center | 3800 York St, Denver, CO 80205-3540 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769233 | Abigail Eileen Taylor | Occupational Therapy Assistant | 3241 N York St, Denver, CO 80205 | 2020-01-19 |
| 1609415694 | Blushing Bodies | Clinic/Center | 2040 East 28th Ave, Denver, CO 80205 | 2019-12-23 |
| 1053966564 | Paul Deutsch | Social Worker | 3836 York St, Denver, CO 80205 | 2019-08-02 |
| 1770062085 | New Health Pain Treatment Centers, LLC | General Practice | 3605 S Teller, Englewood, CO 80205 | 2018-08-08 |
| 1710474374 | Paloma Dental | Dentist | 1225 35th Street, Denver, CO 80205 | 2018-04-19 |
| 1720516677 | Volunteers of America, Colorado Branch | Voluntary or Charitable | 2660 Larimer St., Denver, CO 80205 | 2017-05-23 |
| 1760917637 | Rino Dental | Dentist | 3258 Larimer St, Suite 300, Denver, CO 80205 | 2017-04-27 |
| 1891233193 | Barbara Jordan | Physical Therapist | 13123 East 16th Avenue, Box 295, Denver, CO 80205 | 2017-02-07 |
| 1255877635 | Kaiser Permanente | Clinic/Center | 1451 24th Street, Apt 146, Denver, CO 80205 | 2017-01-10 |
| 1255887501 | Stephanie W Kwong | Speech-Language Pathologist | 158 S Pacific Avenue, Denver, CO 80205 | 2016-08-28 |
| Find all providers in zip 80205 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807466 | Kristie Han | Dentist | 3494 S Grape St, Denver, CO 80222-7528 | 2020-10-07 |
| 1316558976 | Nicholas Propp | Dentist | 7596 E 28th Ave Unit 3, Denver, CO 80238-2304 | 2020-08-16 |
| 1396367090 | Hunter Weber | Dentist | 9409 E 57th Pl, Denver, CO 80238-2379 | 2020-05-15 |
| 1902436140 | Kaysie Mills | Dentist | 5062 Yosemite Ct Unit 1, Denver, CO 80238-3765 | 2020-01-15 |
| 1154966026 | Joanna Kopytek | Dentist | 8276 Explorador Calle, Denver, CO 80229-5527 | 2019-11-14 |
| 1366085292 | Espire Dental Practice, LLC | Dentist | 8080 E Union Ave #140, Denver, CO 80237 | 2019-10-23 |
| 1700432911 | Sol Kim | Dentist | 1935 N Logan St Apt 507, Denver, CO 80203-4391 | 2019-08-13 |
| 1023676996 | Mei Saelee | Dentist | 3773 E Cherry Creek North Dr Ste 120, Denver, CO 80209-3811 | 2019-06-04 |
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1376017061 | Youssef Kartabil | Dentist | 8155 E Fairmount Dr Unit 2036, Denver, CO 80230-6838 | 2019-01-15 |
| Find all providers in DENVER | ||||
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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.