Individual provider Active NPI

Danielle D Coval, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1205080751
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9627 Issued in CO
Practice address
1920 Vindicator Dr Ste 211
Colorado Springs, CO 80919-3625
Phone
(719) 314-2088
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9627 CO
General Practice Dentistry 1223G0001X 9627 CO Primary

Addresses

Primary practice location

1920 Vindicator Dr Ste 211
Colorado Springs, CO 80919-3625

Mailing address

177 Clarksley Rd
Manitou Springs, CO 80829-2725
Phone (720) 254-1802

Other identifiers 2

IdentifierTypeStateIssuer
9627OtherCODENTAL LICENSE
89936337MedicaidCO

Other names 1

  • Danielle D Schwartzenberger Former name

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

State licenses

LicenseStateTypeSpecialty
9627COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Clarisa Mantanona Family Dentistry, P.C. Dentist PastSince Feb 11, 2024 Accepting new patients
Perfect Teeth - Garden of the Gods P.C. General Practice PastSince Jan 1, 2021 Accepting new patients
Perfect Teeth - Powers P.C. General Practice Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1205080751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 CLARKSLEY RD",
            "city": "MANITOU SPRINGS",
            "state": "CO",
            "postal_code": "808292725",
            "telephone_number": "720-254-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 VINDICATOR DR STE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193625",
            "telephone_number": "719-314-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVAL",
        "first_name": "DANIELLE",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9627",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "9627",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89936337",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "SCHWARTZENBERGER",
            "middle_name": "D",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.