Individual provider Active NPI

Rowan Teresa Kubeluis, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1790354827
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00205748 Issued in CO
Practice address
3470 Centennial Blvd Ste 200
Colorado Springs, CO 80907-8669
Phone
(719) 301-6604
NPI assigned
Jun 22, 2021
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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 00205748 CO Primary

Addresses

Primary practice location

3470 Centennial Blvd Ste 200
Colorado Springs, CO 80907-8669

Mailing address

1734 Elton Rd Ste 231
Silver Spring, MD 20903-5722
Phone (301) 439-7878

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00205748COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates PA PastSince Jun 26, 2022 Accepting new patients
Steven H. Keller, D.D.S. & Associates, P.a. PastSince Jun 26, 2022 Accepting new patients

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1790354827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ELTON RD STE 231",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209035722",
            "telephone_number": "301-439-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 CENTENNIAL BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078669",
            "telephone_number": "719-301-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBELUIS",
        "first_name": "ROWAN",
        "middle_name": "TERESA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00205748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.