Individual provider Active NPI

Maria Shaune Regalado, DMD

  • Dentist
  • Windsor, CO
National Provider Identifier
1275272932
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00205151 Issued in CO
Practice address
1555 Main St
Windsor, CO 80550-5998
Phone
(970) 460-4871
NPI assigned
Jun 1, 2022
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00205151 CO Primary

Addresses

Primary practice location

1555 Main St
Windsor, CO 80550-5998

Mailing address

1555 Main St
Windsor, CO 80550-5998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20221027001472 TX Order and Referring Only - DentistPractitioner - Dentist 9335516749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00205151COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Family Denistry General Practice PastSince Apr 1, 2023 Accepting new patients
Smile Designers, PC General Practice PastSince Apr 1, 2023 Accepting new patients
Greeley Modern Dentistry, LLP General Practice PastSince Jun 1, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1275272932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MAIN ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505998",
            "telephone_number": "970-460-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "MARIA",
        "middle_name": "SHAUNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CO

Sources for this page

Verify at the official NPI Registry.