Jennifer N. Kottenstette, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9175 Issued in CO

Practice address

1207 Paseo del Norte
Pueblo, CO 81008

Phone

(719) 545-5213

Fax

(719) 285-4838

NPI assigned

Sep 24, 2006

Last updated

Nov 4, 2022By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 12, 2016 through Apr 12, 2028

Medicare enrollment (NPD)

Not 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.

• Twin Rivers Dental

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1376887729
  Authorized official Same address or phone
• Family Smiles

  dba James C. Swanson, PC D. D. S., PC

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1982899712
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1215037742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 PASEO DEL NORTE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-545-5213",
            "fax_number": "719-285-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 PASEO DEL NORTE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "81008",
            "telephone_number": "719-545-5213",
            "fax_number": "719-285-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTENSTETTE",
        "first_name": "JENNIFER",
        "middle_name": "N.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Korf, PA-C
• Lauren Korinek
• Geofrey Kosgei
• Christina Lynn Koshak, M.D.
• Angela Kottenstette
• Paula R Kotulock
• Jennifer Kouri, DO
• Shawn A. Koury, NP-C
• Christina L Koutnik
• Nichole Renee Kovel, AU.D.

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, 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 Nov 4, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.