DR. ALEX R VANACKER (NPI# 1083723118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083723118 |
| Entity Type | Individual |
| Full Name | DR. ALEX R VANACKER |
| Credential | DDS |
| Practice Address |
712 Broadway St Penrose CO 81240-9003 |
| Mailing Address |
Po Box 318 712 S Broadway Penrose CO 81240-0318 |
| Practice Telephone | 7193723041 |
| Practice Fax Number | 7193720163 |
| Mailing Telephone | 7193723041 |
| Mailing Fax Number | 7193720163 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | COLO105937 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02105930 | 05 | |
| UNITED CONCORDIA | 89152 | 01 |
| Street Address |
712 BROADWAY ST |
| City | PENROSE |
| State | CO |
| Zip Code | 81240-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053370510 | Bar-hite Inc | Spec/Tech, Pathology | 530 K Street, Penrose, CO 81240 | 2006-03-22 |
| 1992775241 | Arthur Warren Brehm | Nurse Anesthetist, Certified Registered | 322 Cr F-45, Penrose, CO 81240 | 2006-01-26 |
| 1831587732 | Dawn Rien | Counselor | 533 11th St, Penrose, CO 81240-9014 | 2014-12-30 |
| 1457967853 | Lindsey A. Cameron-aparicio | Occupational Therapist | 53 3rd St, Penrose, CO 81240-9105 | 2020-09-21 |
| 1720689631 | Megan J Hightower | Counselor | 770 Cedar Hills Rd, Penrose, CO 81240-9155 | 2020-11-06 |
| 1689630964 | Abc Home Health Care Inc. | Registered Nurse | 31 Werner Rd, Suite E, Penrose, CO 81240-9227 | 2006-04-25 |
| 1285761890 | Judy Barritt | Chiropractor | 1015 State Highway 115, Penrose, CO 81240-9399 | 2007-02-28 |
| 1922280908 | Accident & Health Recovery Center LLC | Chiropractor | 1015 State Highway 115, Penrose, CO 81240-9399 | 2007-11-30 |
| 1043406960 | Jason Williams Barritt | Chiropractor | 1015 State Highway 115, Suite 5, Penrose, CO 81240-9399 | 2007-09-25 |
| 1871789321 | Barritt Family Chiropractic, Inc | Chiropractor | 1015 State Highway 115, Penrose, CO 81240-9399 | 2007-09-19 |
| Find all providers in zip 81240 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979375 | Kyle Richardson | Dentist | 5865 Lehman Dr Ste 200, Colorado Springs, CO 80918-3412 | 2020-10-14 |
| 1942807466 | Kristie Han | Dentist | 3494 S Grape St, Denver, CO 80222-7528 | 2020-10-07 |
| 1578160545 | Colorado Sleep Wellness LLC | Dentist | 161 N Park Sq, Fruita, CO 81521-2530 | 2020-10-02 |
| 1578174140 | Amanda Sanae Mei Lin Kobayashi | Dentist | 250 E Colfax Ave, Bennett, CO 80102-8825 | 2020-08-16 |
| 1316558976 | Nicholas Propp | Dentist | 7596 E 28th Ave Unit 3, Denver, CO 80238-2304 | 2020-08-16 |
| 1700495991 | Chien-hua Lee | Dentist | 5127 E Bridge St Ste A, Brighton, CO 80601-8318 | 2020-07-23 |
| 1801404256 | William Jacob Brown | Dentist | 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 | 2020-07-21 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1942827654 | Jarrett Romine | Dentist | 7859 6th St Ste 150, Wellington, CO 80549 | 2020-06-29 |
| 1538786496 | Jordyn Ann Reiakvam | Dentist | 7400 E Crestline Cir Ste 240, Greenwood Village, CO 80111-3655 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.