JOHN ALTON VESTAL III (NPI# 1417940727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417940727 |
| Entity Type | Individual |
| Full Name | JOHN ALTON VESTAL III |
| Credential | D.D.S. |
| Practice Address |
302 W Montezuma Ave Cortez CO 81321-2750 |
| Practice Telephone | 9795653612 |
| Practice Fax Number | 9705656069 |
| Mailing Telephone | 9795653612 |
| Mailing Fax Number | 9705656069 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7935 | CO | Dental Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 7935 | CO | Suppliers |
| Street Address |
302 W MONTEZUMA AVE |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902460017 | 4 Corners Dental Sleep Solutions LLC | Durable Medical Equipment & Medical Supplies | 302 W Montezuma Ave, Cortez, CO 81321-2750 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667429 | Laurilyn Balfour Sturdevant | Dental Hygienist | 101 N Maple, Cortez, CO 81321 | 2020-04-09 |
| 1306231642 | Mesa View Retirement Home Inc. | Assisted Living Facility | 24760 County Road G, Cortez, CO 81321 | 2015-04-03 |
| 1528464765 | Patricia Nelson | Counselor | 691 E. Empire St., Cortez, CO 81321 | 2014-11-17 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1528480571 | Kelly Ogle | Registered Nurse | 17575 Road G, Cortez, CO 81321 | 2014-01-10 |
| 1316378821 | Beth A. Carter | Registered Nurse | 106 West North Street, Cortez, CO 81321 | 2013-12-09 |
| 1538596614 | Michael Daniel Grajeda | Physical Therapist | 111 N Park St Ste B, Cortez, CO 81321 | 2013-10-03 |
| 1275879876 | April L. Randle Md Inc | Internal Medicine | 215 Linden St, Suite D, Cortez, CO 81321 | 2012-12-31 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1770879850 | Mark Holton | Marriage & Family Therapist | 1399 Cochita St, Cortez, CO 81321 | 2011-06-27 |
| Find all providers in zip 81321 | ||||
| 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 |
|---|---|---|---|---|
| 1053934851 | Steven Kevin Schade | Dentist | 2288 E Main St Unit C, Cortez, CO 81321-4230 | 2020-05-27 |
| 1346649100 | Armando Sastre | Dentist | 925 S Broadway Ste 273, Cortez, CO 81321-4074 | 2014-08-18 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1871689166 | Richard August Westerman | Dentist | 18 S Beech, Cortez, CO 81321-3751 | 2006-10-05 |
| 1760589212 | William P. Redwood | Dentist | 18 S. Beech, Cortez, CO 81321 | 2006-09-19 |
| 1568937639 | Dolores County Health Association | Dentist | 101 S Maple St, Cortez, CO 81321-3562 | 2018-10-04 |
| 1396275715 | Scott Arter | Dentist | 115 N Beech St, Cortez, CO 81321-3207 | 2017-06-18 |
| 1497949168 | Courtney W. Sikes | Dentist | 106 W North St, Cortez, CO 81321-3119 | 2007-09-05 |
| 1538288188 | Curtis Patana | Dentist | 115 N Beech St, Cortez, CO 81321-3207 | 2007-03-28 |
| 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.