Gary Gene Andreoletti, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104419 Issued in CO

Practice address

576 Kokopelli Blvd
Suite B
Fruita, CO 81521-6304

Phone

(970) 858-4544

Fax

(970) 858-9187

NPI assigned

Nov 28, 2005

Last updated

Jul 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Gary Andreoletti DDS PC

  • General Practice Dentistry
  • Fruita, CO
  • NPI 1821477050
  Authorized official Same address or phone

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1437132016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD",
            "address_2": "SUITE B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216304",
            "telephone_number": "970-858-4544",
            "fax_number": "970-858-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD",
            "address_2": "SUITE B",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216304",
            "telephone_number": "970-858-4544",
            "fax_number": "970-858-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREOLETTI",
        "first_name": "GARY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Albers, LPC
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• Leslie Allen
• Erica Ammons, PMHNP-BC
• Mary Ellen Anderson, PT
• Ashoka Mind and Body LLC
• Shannon Auckly, RN
• B & L Specialty Team
• Bellarae Home Care Agency, LLC
• Brian Knight Belnap, MD

• General Practice Dentistry in Fruita, CO
• Providers in Fruita, 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, 2009; 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.