Active NPI
Debra Klohs Dezarn, R.D.
- Registered Dietitian
- Arvada, CO
National Provider Identifier
1063655926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 370146
- Practice address
- 6469 Moss Cir
Arvada, CO 80007-6934 - Phone
- (303) 424-1498
- Fax
- (303) 424-1498
- NPI assigned
- Apr 8, 2009
- Last updated
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 370146 | NU | Primary |
Addresses
Primary practice location
6469 Moss Cir
Arvada, CO 80007-6934
Mailing address
6469 Moss Cir
Arvada, CO 80007-6934
Phone (303) 424-1498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1063655926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6469 MOSS CIR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800076934",
"telephone_number": "303-424-1498",
"fax_number": "303-424-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6469 MOSS CIR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800076934",
"telephone_number": "303-424-1498",
"fax_number": "303-424-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEZARN",
"first_name": "DEBRA",
"middle_name": "KLOHS",
"name_prefix": "Ms.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": "370146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
- Developmental Disabilities Resource Center
- Developmental Disabilities Resource Center
- Developmental Disabilities Resource Center
- Thomas James Devine, M.ED
- Sarah Nicole Devlin, FNP
- Dianne C. Stone M.D., P.C.
- Dillon Companies Inc (King Soopers Pharmacy)
- Dillon Companies LLC (King Soopers Pharmacy)
- Dillon Companies LLC (King Soopers Pharmacy)
- Dillon Companies LLC (King Soopers Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.