Individual provider Active NPI

Carl Frank Tabor, D.M.D.

  • General Practice Dentistry
  • Fort Collins, CO
National Provider Identifier
1851380505
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5496 Issued in CO
Practice address
1355 Riverside Ave
D
Ft Collins, CO 80524-4368
Phone
(970) 493-0999
Fax
(970) 493-2188
NPI assigned
Oct 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5496 CO Primary

Addresses

Primary practice location

1355 Riverside Ave
D
Ft Collins, CO 80524-4368

Mailing address

305 Cheyenne Dr
Berthoud, CO 80513-1343
Phone (970) 532-3005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151009000295 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8123336278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851380505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CHEYENNE DR",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131343",
            "telephone_number": "970-532-3005",
            "fax_number": "970-493-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE",
            "address_2": "D",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805244368",
            "telephone_number": "970-493-0999",
            "fax_number": "970-493-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "CARL",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.