Active NPI
Tobias M. Derloshon, D.D.S.
- Pediatric Dentistry
- Arvada, CO
National Provider Identifier
1699803189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 06177
- Practice address
- 5730 Ward Rd Ste 202
Arvada, CO 80002 - Phone
- (303) 423-5437
- Fax
- (303) 423-1121
- NPI assigned
- Feb 28, 2007
- Last updated
- Sep 5, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 06177 | CO | Primary |
Addresses
Primary practice location
5730 Ward Rd Ste 202
Arvada, CO 80002
Mailing address
5730 Ward Rd Ste 202
Arvada, CO 80002-1300
Phone (303) 423-5437
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06177 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awesome Smiles, P.C. | Pediatric Dentistry | Current | 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, 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": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1699803189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5730 WARD RD STE 202",
"city": "ARVADA",
"state": "CO",
"postal_code": "800021300",
"telephone_number": "303-423-5437",
"fax_number": "303-423-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5730 WARD RD STE 202",
"city": "ARVADA",
"state": "CO",
"postal_code": "80002",
"telephone_number": "303-423-5437",
"fax_number": "303-423-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERLOSHON",
"first_name": "TOBIAS",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "06177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
- Margaret Denison, AU.D
- Jill Denkinger, LMT
- Dental Partners of North Arvada
- Dentists of Arvada, LLP (Dentists of Arvada)
- Pamela Depinto, LPN, RMA, CNA
- Kerry Anne Derrick, M.A. LMFT
- Lindsey Derus, LPC
- Jil Kristine Dery, D.D.S.
- Deshano Care Centers LLC (Flourish Supportive Living at 63rd)
- Annie Kim Detweiler, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.