Ivan Zolotco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205560 Issued in CO

Practice address

9348 Grand Cordera Pkwy Ste 100
Colorado Springs, CO 80924-7006

Phone

(719) 722-3568

NPI assigned

Jun 30, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ion Zolotco Former name

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1932886819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 N WAHSATCH AVE # 374",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247006",
            "telephone_number": "719-722-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLOTCO",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205560",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00205560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ION",
            "last_name": "ZOLOTCO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Zobec, NP
• Deanna Zobel-Grey, MSW, LCSW
• Zoetic
• Kyanna Zohar
• Desmond Zoller, DDS
• Benjamin Zook
• Erin Zotigh, PA
• Alannah Zrnchik
• Leigh Zucker, MS, BCBA
• Abigail Ruth Zuehlke, RN

• Dentist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.