Edward Lee Donaldson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104129 Issued in CO

Practice address

1631 Wetzel Ave BLDG 815
Ft Carson, CO 80913-4095

Phone

(719) 526-5537

NPI assigned

Oct 24, 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

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598849705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 VICTORIAN PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809044200",
            "telephone_number": "719-474-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 WETZEL AVE BLDG 815",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134095",
            "telephone_number": "719-526-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "104129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lynn Dill, LMSW
• Jay Francis Dingbaum, CRNA
• Shirley Ann Dollesin, LPC
• Tracie Tue Dominguez, PA-C
• Davina L Donaldson Hawkins, LMFT
• Richard Benjamin Dones, LCSW
• Maria Doran
• Zachary Dotson
• Daniel Douglas, PA-C
• Paul Alan Douglas

• General Practice Dentistry in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• General Practice Dentistry 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.