Individual provider Active NPI

Sharla Engel Aronson, DDS

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1053550665
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9871 Issued in CO
Practice address
4027 Boardwalk Dr
Fort Collins, CO 80525-5938
Phone
(970) 472-0488
Fax
(970) 472-0160
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9871 CO Primary

Addresses

Primary practice location

4027 Boardwalk Dr
Fort Collins, CO 80525-5938

Mailing address

4027 E Boardwalk Dr
Fort Collins, CO 80525-5938
Phone (970) 472-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150527000662 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779803168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9871COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1053550665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4027 E BOARDWALK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255938",
            "telephone_number": "970-472-0488",
            "fax_number": "970-472-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4027 BOARDWALK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255938",
            "telephone_number": "970-472-0488",
            "fax_number": "970-472-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARONSON",
        "first_name": "SHARLA",
        "middle_name": "ENGEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.