Brock Deal, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

7933 Issued in CO

Practice address

4344 Woodlands Blvd Ste 220
Castle Rock, CO 80104-2801

Phone

(303) 328-3979

NPI assigned

Aug 21, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Endodontics of Castle Rock

  • Endodontics
  • Castle Rock, CO
  • NPI 1942159660
  NPD Authorized official
• Endodontic Associates

  • Endodontics
  • Centennial, CO
  • NPI 1255501904
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1467567198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 220",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-328-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 WOODLANDS BLVD STE 220",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042801",
            "telephone_number": "303-328-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAL",
        "first_name": "BROCK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-01-28",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "7933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Eileen Dawson, LPCC, MFTC
• Breasi Day
• Romi Dazzio
• Raquel De Oliveira Edisbury, PHARMD
• Katrina M De Romana, MSN, FNP
• Deborah D Dean, LPN
• Decipher Your Life Psychotherapy, PLLC
• Kimberly A Declaire
• Zeina Dehni, FNP
• Heidi M. Del Regato, L.AC

• Endodontics in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.