Steven Marshall Frederick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8102 Issued in CO

Practice address

1190 W Ash St
Suite B
Windsor, CO 80550-4672

Phone

(970) 674-0250

Fax

(970) 674-1455

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Aspen Leaf Dentistry PC

  • Dentist
  • Windsor, CO
  • NPI 1851314850
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376766030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 W ASH ST",
            "address_2": "SUITE B",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504672",
            "telephone_number": "970-674-0250",
            "fax_number": "970-674-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 W ASH ST",
            "address_2": "SUITE B",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504672",
            "telephone_number": "970-674-0250",
            "fax_number": "970-674-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "STEVEN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Preston Fowler, D.M.D.
• Terry O. Fox, L.AC, LMT
• Delaney Frady, MOT OTR/L
• Harli Jill Franklin, P.T.
• Nancy Marie Frase, MA, LPCC
• Mike Frick
• Frontline Physical Therapy, LTD
• Eleanor Rae Galloway, OT
• Rebecca Garcia, R.M.T.
• Isaac Robert Garfinkle, LCSW

• General Practice Dentistry in Windsor, CO
• Providers in Windsor, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.