Active NPI
Kenneth Warren Ostrov, DDS
- General Practice Dentistry
- Delta, CO
National Provider Identifier
1982008546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 202295
- Practice address
- 1250 Valley View Dr
Delta, CO 81416-3138 - Phone
- (970) 874-8981
- Fax
- (855) 299-7586
- NPI assigned
- Oct 10, 2014
- 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 | 202295 | CO | Primary |
Addresses
Primary practice location
1250 Valley View Dr
Delta, CO 81416-3138
Mailing address
PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141
Other practice location 1
308 Main St
Olathe, CO 81425
Phone (970) 323-6141
Other practice location 2
1010 Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202295 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perfect Teeth Boulder P.C. | General Practice | Past | Accepting new patients |
| Front Range Smiles, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Parker, CO
- NPI 1417366790
-
- General Practice Dentistry
- Boulder, CO
- NPI 1184744096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1982008546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 529",
"city": "OLATHE",
"state": "CO",
"postal_code": "814250529",
"telephone_number": "970-323-6141",
"fax_number": "855-299-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 VALLEY VIEW DR",
"city": "DELTA",
"state": "CO",
"postal_code": "814163138",
"telephone_number": "970-874-8981",
"fax_number": "855-299-7586"
}
],
"practiceLocations": [
{
"address_1": "308 Main St",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "CO",
"postal_code": "81425",
"country_code": "US",
"telephone_number": "970-323-6141",
"fax_number": "855-299-8071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1010 Rio Grande Ave",
"address_purpose": "LOCATION",
"city": "Montrose",
"state": "CO",
"postal_code": "814014831",
"country_code": "US",
"telephone_number": "970-497-3333",
"fax_number": "855-299-7837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSTROV",
"first_name": "KENNETH",
"middle_name": "WARREN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-10",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "202295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.