Active NPI
Derya Franz Redelius, DDS
- Dentist
- Denver, CO
National Provider Identifier
1750877601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00203731
- Practice address
- 1339 S Federal Blvd
Denver, CO 80219 - Phone
- (303) 602-0000
- NPI assigned
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00203731 | CO | Primary |
Addresses
Primary practice location
1339 S Federal Blvd
Denver, CO 80219
Mailing address
8006 E 53Rd Dr
Denver, CO 80238-3807
Phone (954) 826-2178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2023 through Feb 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203731 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1750877601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8006 E 53RD DR",
"city": "DENVER",
"state": "CO",
"postal_code": "802383807",
"telephone_number": "954-826-2178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 S FEDERAL BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "80219",
"telephone_number": "303-602-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDELIUS",
"first_name": "DERYA",
"middle_name": "FRANZ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-03",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00203731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.