Dezi Grace Doppel

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

SA.0001862 Issued in CO

Practice address

8580 Scarborough Dr Ste 240
Colorado Springs, CO 80920-7584

Phone

(719) 590-1500

Fax

(719) 590-9379

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Ronald D. Thoman DDS., PC.

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
  • NPI 1013922475

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1902458862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207584",
            "telephone_number": "719-590-1500",
            "fax_number": "719-590-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207584",
            "telephone_number": "719-590-1500",
            "fax_number": "719-590-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPPEL",
        "first_name": "DEZI",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Assistant",
            "state": "CO",
            "license": "SA.0001862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Katherine Doody
• Deborah M Dooley, OTR, CLT
• Lauren Dooley
• Sydney Dooley
• Charles Kendal Doolittle, DMD, PC
• Vanessa Dorado
• Misty Dorak
• Ana Doran
• Doranna Christenson MD PC
• Robert Dorband, MA, SRPC, IAPC

• Dental Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.