Dawnielle Endly, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

58337 Issued in CO

Practice address

1390 S Potomac St Ste 124
Aurora, CO 80012-4529

Phone

(303) 368-8611

Fax

(303) 368-9791

NPI assigned

May 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Arizona College of Osteopathic Medicine Mid Western University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology Skin Cancer and Laser Surgery Center P.C.Group PAC ID 6709775133, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as group

Quality

100

Promoting interoperability

96

Improvement activities

40

Cost

73.13

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Aurora, CO
  • NPI 1134170012
  Medicare reassignment Care Compare group NPD
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Castle Rock, CO
  • NPI 1811590433
  NPD

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1568807238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 14TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703133",
            "telephone_number": "727-588-5704",
            "fax_number": "727-585-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 124",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "303-368-8611",
            "fax_number": "303-368-9791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12645 E Euclid Dr",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801116437",
            "country_code": "US",
            "telephone_number": "303-368-8611",
            "fax_number": "303-368-9791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3096 0 Stagecoach Blvd",
            "address_2": "W140",
            "address_purpose": "LOCATION",
            "city": "Evergreen",
            "state": "CO",
            "postal_code": "80439",
            "country_code": "US",
            "telephone_number": "303-670-7065",
            "fax_number": "303-674-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Summit Blvd # 102",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "804435881",
            "country_code": "US",
            "telephone_number": "907-668-9650",
            "fax_number": "970-668-9654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDLY",
        "first_name": "DAWNIELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "UO3718",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R2235",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "58337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C199008",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empowering Ability Today
• Elise Emser, PH.D.
• Obehi Enabulele, PHARMD, MBA, MS
• Enb Transportation LLC
• Elizabeth Mary Ender, NP
• Endodontics of Colorado
• Frederick W Endorf, MD
• Brian Allen Enebo, DC
• Ihuoma Uchechi Eneli, MD
• Melissa Eng

• Dermatology Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.