Active NPI
Robert Jackson Teasdall, MD
- Orthopaedic Surgery Physician
- Denver, CO
National Provider Identifier
1417536996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DR.76803
- Practice address
- 2535 S Downing St Ste 100
Denver, CO 80210-5848 - Phone
- (720) 524-1367
- NPI assigned
- Apr 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | RTL21-0169 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | DR.76803 | CO | Primary |
Addresses
Primary practice location
2535 S Downing St Ste 100
Denver, CO 80210-5848
Mailing address
2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone (720) 524-1367
Other practice location 1
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-3932
Other practice location 2
2525 S Downing St
Denver, CO 80210-5817
Phone (303) 778-1955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210630003175 | NC | Order and Referring Only - Orthopedic Surgery | 1052712841 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1417536996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2535 S DOWNING ST STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802105848",
"telephone_number": "720-524-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 S DOWNING ST STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802105848",
"telephone_number": "720-524-1367"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Boulevard",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-3932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 S Downing St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802105817",
"country_code": "US",
"telephone_number": "303-778-1955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEASDALL",
"first_name": "ROBERT",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-03",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "RTL21-0169",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "DR.76803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.