Kelsey Dernocoeur, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00205994 Issued in CO

Practice address

10106 W San Juan Way
Littleton, CO 80127-6332

Phone

(303) 795-6444

NPI assigned

May 30, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1902646458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 W SAN JUAN WAY STE 120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276333",
            "telephone_number": "303-795-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 W SAN JUAN WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276332",
            "telephone_number": "303-795-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERNOCOEUR",
        "first_name": "KELSEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denver Therapy Online
• Denver VA Medical Center
• Department of Justice
• Leanne Michelle Deremer
• Cathryn Elizabeth Derman, M.S.
• Tara Lynn Derose, O.D.
• Darcia Desalvo
• Deshano Care Centers LLC
• John V Desiato, PT
• Helene G Desmarais, PA

• General Practice Dentistry in Littleton, CO
• Providers in Littleton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.