Active NPI
Ryan Hofsess, DDS
- General Practice Dentistry
- Firestone, CO
National Provider Identifier
1760099568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00204415
- Practice address
- 6160 Firestone Blvd Unit 105
Firestone, CO 80504-6431 - Phone
- (303) 532-3371
- NPI assigned
- Sep 25, 2020
- Last updated
- Feb 24, 2021
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204415 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firestone Dental Care, LLC | General Practice | Past | 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.
-
dba Firestone Dental Care
- General Practice Dentistry
- Firestone, CO
- NPI 1508941337
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.