Samuel Teague

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203598 Issued in CO

Practice address

691 E Empire St
Cortez, CO 81321-2802

Phone

(970) 565-7946

Fax

(970) 565-9005

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Dentist

Education

University of Tennessee HSC College of Dentistry, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.teague.p1@direct.ahs.nextgenshare.com

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.

• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1932192598
  Medicare reassignment NPD
• Southwest Colorado Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Montrose, CO
  • NPI 1366284556
  NPD
• Southwest Colorado Mental Health Center Inc

  • Family Medicine Physician
  • Pagosa Springs, CO
  • NPI 1619761137
  NPD
• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1376374843
  NPD (past)
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1831219328
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1215429642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E EMPIRE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212802",
            "telephone_number": "970-565-7946",
            "fax_number": "970-565-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Peak One Drive #100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "80443",
            "country_code": "US",
            "telephone_number": "970-668-4040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Mercury Village Dr",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018955",
            "country_code": "US",
            "telephone_number": "970-335-2342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Pagosa Springs",
            "state": "CO",
            "postal_code": "811478368",
            "country_code": "US",
            "telephone_number": "970-264-2104",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dove Creek",
            "state": "CO",
            "postal_code": "813244900",
            "country_code": "US",
            "telephone_number": "970-677-2291",
            "fax_number": "970-335-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203598",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Tarpey, MD
• Moriah Louise Tarpey, M.D.
• Tavamuwisi Dental Group PLLC
• Taylor G Wright PC
• Kimberly Rose Taylor, PT, DPT
• Katrina Marie Thomas, LAC
• Patricia C Thompson, RN
• Helen Todacheeny, RDH
• Eugene P Toner, M.D.
• Genevieve Giddings Travis, MSW

• General Practice Dentistry in Cortez, CO
• Providers in Cortez, 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 Feb 11, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.