Active NPI
Darrel Thomas Fenton, D.O.
- Orthopaedic Surgery Physician
- Sterling, CO
National Provider Identifier
1558318816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 30576
- Practice address
- 1405 S 8TH Ave
Suite 101
Sterling, CO 80751-4563 - Phone
- (970) 522-2264
- Fax
- (970) 522-2272
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 30576 | CO | Primary |
| Orthopaedic Surgery Physician | 207X00000X | R7B34 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | 105 | NE |
Addresses
Primary practice location
1405 S 8TH Ave
Suite 101
Sterling, CO 80751-4563
Mailing address
1405 S 8TH Ave Ste 101
Sterling, CO 80751-4560
Phone (970) 522-2264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105 | NE | MD | Mental Health Counselor |
| 30576 | CO | MD | Orthopaedic Surgery Physician |
| R7B34 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Colorado Orthopedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Sterling, CO
- NPI 1932394269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1558318816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S 8TH AVE STE 101",
"city": "STERLING",
"state": "CO",
"postal_code": "807514560",
"telephone_number": "970-522-2264",
"fax_number": "970-522-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S 8TH AVE",
"address_2": "SUITE 101",
"city": "STERLING",
"state": "CO",
"postal_code": "807514563",
"telephone_number": "970-522-2264",
"fax_number": "970-522-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "DARREL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "30576",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "R7B34",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.