Individual provider Active NPI

Kevin Zundel Dawson, DDS

  • Dentist
  • Delta, CO
National Provider Identifier
1992728919
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8857 Issued in CO
Practice address
1250 Valley View Dr
Delta, CO 81416-3138
Phone
(970) 874-8981
Fax
(855) 299-7586
NPI assigned
Jul 25, 2006
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8857 CO Primary

Addresses

Primary practice location

1250 Valley View Dr
Delta, CO 81416-3138

Mailing address

1821 Otter Pond Circle
Montrose, CO 81401
Phone (970) 874-8981

Other practice location 1

308 Main St
Olathe, CO 81425
Phone (970) 323-6141

Other practice location 2

1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926003973 CO Order and Referring Only - DentistPractitioner - Dentist 9638443872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8857COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1992728919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 OTTER POND CIRCLE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-874-8981",
            "fax_number": "970-874-4169"
        },
        {
            "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 S 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": "DAWSON",
        "first_name": "KEVIN",
        "middle_name": "ZUNDEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.