Dorothy Ellen Distelhorst, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6533 Issued in CO

Practice address

51 Eagle Rd # A1
Avon, CO 81620-5991

Phone

(970) 479-0408

Fax

(970) 479-7903

NPI assigned

Aug 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1154434082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5680",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205680",
            "telephone_number": "970-479-0408",
            "fax_number": "970-479-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 EAGLE RD # A1",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816205991",
            "telephone_number": "970-479-0408",
            "fax_number": "970-479-7903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4592 Streamside Circle East",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816574592",
            "country_code": "US",
            "telephone_number": "970-479-0408",
            "fax_number": "970-479-7903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISTELHORST",
        "first_name": "DOROTHY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl F Dando, MD,RVT,RPVI, RPHS
• Marshall Davis, MD
• Dawn Nelson LLC
• Derma Taut International PC
• Dillon Companies LLC
• Doctors Plus of Colorado, Inc.
• Robert P. Dolan, M.D.
• Dragonfly Chiropractic LLC
• Jeffrey Steven Draper, B.S., ROLFER
• Sarah Drew, NP

• All providers in Avon, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.