Active NPI
Raelene Frances Fulford, DDS, MSD
- Dentist
- Denver, CO
National Provider Identifier
1225342314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00202002
- Practice address
- 1701 W 72ND Ave
Denver, CO 80221-2721 - Phone
- (303) 650-4460
- Fax
- (720) 206-0434
- NPI assigned
- Jul 30, 2010
- Last updated
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 56263 | CA | |
| Dentist | 122300000X | DEN.00202002 | CO | Primary |
Addresses
Primary practice location
1701 W 72ND Ave
Denver, CO 80221-2721
Mailing address
1345 Plaza CT N
1A
Lafayette, CO 80026-3531
Phone (303) 665-3036
Other names 1
- Dr. Raelene Frances McDowall
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00202002 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Past | Accepting new patients | |
| Clinica Campesina Family Health Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1548256522
-
dba Clinica Family Health and Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1225342314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 PLAZA CT N",
"address_2": "1A",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800263531",
"telephone_number": "303-665-3036",
"fax_number": "720-206-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W 72ND AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802212721",
"telephone_number": "303-650-4460",
"fax_number": "720-206-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULFORD",
"first_name": "RAELENE",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-30",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "56263",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00202002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAELENE",
"last_name": "MCDOWALL",
"middle_name": "FRANCES",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.