Daniel Douglas Kersten, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DEN.00203973 Issued in CO

Practice address

1720 Jet Stream Dr Ste 110
Colorado Springs, CO 80921-3938

Phone

(719) 488-2188

NPI assigned

Aug 4, 2006

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elevation Endodontics, PLLC

  dba Elevation Endodontics

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1144095381
  NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1174531818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-488-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 JET STREAM DR STE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213938",
            "telephone_number": "719-488-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSTEN",
        "first_name": "DANIEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "DEN.00203973",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D11792",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AK",
            "license": "1460",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Eileen Kerr, LPCC
• Stephanie Leann Kerr, NNP-BC
• Jessica Kershenblatt
• Heather M Kershner, BSN, RN
• Norine Kerstein, MA, OTR
• Gabriella Eve Kerwin
• Kateri Kerwin, LCSW
• Soraya Francesca Keshmiri, O.D.
• Latosha Kessell, LPC
• Monica Balsano Kessler, SLP

• Endodontics in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.