Active NPI
Daniel Walter Duchrow, DMD
- General Practice Dentistry
- Greeley, CO
National Provider Identifier
1861233702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00206011
- Practice address
- 4552 Centerplace Dr Ste 200
Greeley, CO 80634-3759 - Phone
- (970) 400-7822
- NPI assigned
- Jun 4, 2024
- 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.00206011 | CO | Primary |
Addresses
Primary practice location
4552 Centerplace Dr Ste 200
Greeley, CO 80634-3759
Mailing address
4723 W 9TH St
Greeley, CO 80634-2025
Phone (480) 495-9922
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.00206011 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Dental Professionals, LLC | General Practice | Current | Accepting new patients |
Locations
4552 Centerplace Dr
Ste 200
Greeley, CO 80634
Phone (970) 400-7822
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Greeley, CO
- NPI 1316528029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1861233702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4723 W 9TH ST",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342025",
"telephone_number": "480-495-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4552 CENTERPLACE DR STE 200",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343759",
"telephone_number": "970-400-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHROW",
"first_name": "DANIEL",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00206011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.