Daniel Depperman, NCMMT, CERT ROLFER

Primary specialty

SpecialistTaxonomy code 174400000X

License

702591 Issued in CO

Practice address

1301 S 8TH St Ste 112
Colorado Springs, CO 80906-1340

Phone

(719) 321-6579

Fax

(719) 634-5549

NPI assigned

Mar 28, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497874846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST STE 112",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061340",
            "telephone_number": "719-321-6579",
            "fax_number": "719-634-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST STE 112",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061340",
            "telephone_number": "719-321-6579",
            "fax_number": "719-634-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPERMAN",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "NCMMT, CERT ROLFER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "702591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Denzler, LPC
• Erick Deonarine, RN
• Department of Veterans Affairs
• Andrew Depinto, LPC
• Stacey Renee Depoilly, M.A.
• Caroline Deprisco, M.D.
• Dept of Veterans Affairs
• Karissa Ruth Deptula, PT, DPT
• Claudia Yovana Deras Flores
• Jeanne Ruth Derber, O.D.

• Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Specialist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.