Individual provider Active NPI

Richard Edward Stiefler, M.D.

  • Specialist
  • Crested Butte, CO
National Provider Identifier
1689672735
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19716 Issued in CO
Practice address
178 Coyote Cir
Crested Butte, CO 81224-9640
Phone
(970) 589-4259
NPI assigned
Jul 12, 2005
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19716 CO Primary
Dermatology Physician 207N00000X DR.0019716 CO

Addresses

Primary practice location

178 Coyote Cir
Crested Butte, CO 81224-9640

Mailing address

178 Coyote Cir
Crested Butte, CO 81224-9640
Phone (970) 589-4259

Other identifiers 1

IdentifierTypeStateIssuer
27186750MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230809003444 CO Order and Referring Only - DermatologyPractitioner - Dermatology 4587554795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19716COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard E. Stiefler, M.D. Dermatology CurrentSince Jul 30, 2001 Accepting new patients
Moab Family Medicine PC Past Accepting new patients

Locations

2530 N 8th St
Ste 205
Grand Junction, CO 81501
Phone (970) 245-1500

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1689672735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COYOTE CIR",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812249640",
            "telephone_number": "970-589-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 COYOTE CIR",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812249640",
            "telephone_number": "970-589-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEFLER",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "19716",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0019716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27186750",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crested Butte, CO

Sources for this page

Verify at the official NPI Registry.