Individual provider Active NPI

Daniel Edward Savitske, DDS

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1528207685
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
HD104703 Issued in CO
Practice address
1521 Grey Rock Dr
Fort Collins, CO 80524-9427
Phone
(970) 482-3157
NPI assigned
Feb 13, 2009
Last updated
Feb 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X HD104703 CO Primary

Addresses

Primary practice location

1521 Grey Rock Dr
Fort Collins, CO 80524-9427

Mailing address

1521 Grey Rock Dr
Fort Collins, CO 80524-9427
Phone (970) 482-3157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20141017000312 TX Practitioner - Oral Surgery 9234350117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HD104703COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Aug 31, 2014 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 31, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234483200000",
    "number": "1528207685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GREY ROCK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249427",
            "telephone_number": "970-482-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREY ROCK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249427",
            "telephone_number": "970-482-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVITSKE",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "HD104703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.