Active NPI
Steven Lee Dierenfield, DC
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1295938512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2109
- Practice address
- 1532 E Mulberry St
Suite E
Fort Collins, CO 80524-3552 - Phone
- (970) 493-4600
- Fax
- (970) 493-4466
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2109 | CO | Primary |
| Chiropractor | 111N00000X | 1034 | WY |
Addresses
Primary practice location
1532 E Mulberry St
Suite E
Fort Collins, CO 80524-3552
Mailing address
1532 E Mulberry St
Suite E
Fort Collins, CO 80524-3552
Phone (970) 493-4600
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 |
|---|---|---|---|
| 1034 | WY | MD | General Practice Dentistry |
| 2109 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295938512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 E MULBERRY ST",
"address_2": "SUITE E",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243552",
"telephone_number": "970-493-4600",
"fax_number": "970-493-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 E MULBERRY ST",
"address_2": "SUITE E",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243552",
"telephone_number": "970-493-4600",
"fax_number": "970-493-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIERENFIELD",
"first_name": "STEVEN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2109",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "1034",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.