Judson Dain Valstad, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7906 Issued in CO

Practice address

519 Main St
Windsor, CO 80550-5131

Phone

(970) 686-7121

Fax

(970) 686-1021

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By 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 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

Practice roles

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.

• Judson D Valstad DMD Inc

  dba Valstad Dental

  • General Practice Dentistry
  • Windsor, CO
  • NPI 1144744541
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194736272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BASSETERRE PL",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805258840",
            "telephone_number": "970-207-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505131",
            "telephone_number": "970-686-7121",
            "fax_number": "970-686-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALSTAD",
        "first_name": "JUDSON",
        "middle_name": "DAIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tutela Institute, LLC
• Abbigail Tygart
• Tyler Ingersoll DMD PC (Windsor Family Dentistry)
• United Seating and Mobility, LLC (Numotion)
• Sandra Valdes Haas, DC
• Melissa Ashley Van Kooten, LCSW
• Lynnae Joy Vanderhart, DOULA
• Meagan Varn, LPC
• Vision Revision PC
• VMD Primary Providers Colorado, Inc

• General Practice Dentistry in Windsor, CO
• Providers in Windsor, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.