Daniel Valicevic

Primary specialty

DentistTaxonomy code 122300000X

License

00202551 Issued in CO

Practice address

1165 Sergeant Jon Stiles Drive
Highlands Ranch, CO 80129

Phone

(303) 791-3209

NPI assigned

Apr 2, 2014

Last updated

Jun 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Redstone Dental Group, LLP

  dba Redstone Dental Group / My Kids Dentist and Orth

  • General Practice Dentistry
  • Highlands Ranch, CO
  • NPI 1841514387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1811315245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 SERGEANT JON STILES DRIVE",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 SERGEANT JON STILES DRIVE",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "303-791-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALICEVIC",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202551",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Physicians Incorporated (CU Medicine - Highlands Ranch Specialty Care Center)
• Usacs of Colorado, Inc
• Diane Ushupun, P.T.
• Stacey Arleene Uster, DPT
• Stephen Andrew Valente, LCSW
• Trey Van Maanen, MD
• Elizabeth Van Otten, LPCC, NCC
• Deja S Vandeloo, MD
• Gabrielle Vanderpoel
• Courtney Vanderstock, CMT

• Dentist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.