Individual provider Active NPI

Ryan Hofsess, DDS

  • General Practice Dentistry
  • Firestone, CO
National Provider Identifier
1760099568
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN.00204415 Issued in CO
Practice address
6160 Firestone Blvd Unit 105
Firestone, CO 80504-6431
Phone
(303) 532-3371
NPI assigned
Sep 25, 2020
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN.00204415 CO Primary

Addresses

Primary practice location

6160 Firestone Blvd Unit 105
Firestone, CO 80504-6431

Mailing address

3255 Fish Creek Rd
Estes Park, CO 80517-8601
Phone (248) 804-4278

Other practice location 1

323 N LeRoux St Ste 100
Flagstaff, AZ 86001-4542
Phone (928) 774-1168

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

LicenseStateTypeSpecialty
DEN.00204415COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Firestone Dental Care, LLC General Practice PastSince Mar 4, 2021 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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1760099568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 FISH CREEK RD",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805178601",
            "telephone_number": "248-804-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 FIRESTONE BLVD UNIT 105",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805046431",
            "telephone_number": "303-532-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 N LeRoux St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860014542",
            "country_code": "US",
            "telephone_number": "928-774-1168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFSESS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00204415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Firestone, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.