Andrew R Mortensen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9400 Issued in CO

Practice address

1040 E Elizabeth St Ste 201
Fort Collins, CO 80524-3951

Phone

(970) 484-7310

Fax

(970) 484-7711

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Andrew R. Mortensen, D.M.D., P.C.

  • Public Health Dentistry
  • Fort Collins, CO
  • NPI 1457759177
  NPD (past) Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457332363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 KIT FOX RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265262",
            "telephone_number": "970-449-2389",
            "fax_number": "970-484-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 E ELIZABETH ST STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243951",
            "telephone_number": "970-484-7310",
            "fax_number": "970-484-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2610",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Morse
• John Morse
• Lucy Morse
• Meghan E Morse, BS
• Robert Dylan Morsut, BACHELORS
• D K Mortensen, D.O.
• Jinny Mortensen, M.A., LPC
• Angela S Mortenson, RN
• Kyana Morton-McCarthy, M.D
• Mosaic

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, 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.