DR. WILLIAM WALTER IVERSEN (NPI# 1487612057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487612057 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM WALTER IVERSEN |
| Credential | DDS MS |
| Practice Address |
1103 S Shields Fort Collins CO 80521 |
| Practice Telephone | 9704843214 |
| Practice Fax Number | 9704844007 |
| Mailing Telephone | 9704843214 |
| Mailing Fax Number | 9704844007 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
104735 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 87457563 | 05 |
| Street Address |
1103 S SHIELDS |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255767406 | Dennis Craig Seager | Dentist | 4144 S Timberline Rd, Fort Collins, CO 80525-6029 | 2013-09-19 |
| 1285939017 | Jared Alan Ward | Dentist | 2720 Council Tree Ave, Suite 266, Fort Collins, CO 80525-6306 | 2011-01-26 |
| 1720381551 | Adam Mccarthy Timock | Dentist | 3600 Mitchell Dr, Suite 40, Fort Collins, CO 80525-5919 | 2010-12-16 |
| 1417160581 | Laura Danielle Milnor | Dentist | 1103 S Shields St, Fort Collins, CO 80521-4524 | 2007-05-07 |
| 1396867495 | Mark David Crane | Dentist | 4144 Timberline Rd, Fort Collins, CO 80525-6029 | 2007-04-06 |
| 1699828483 | Robert Louis Lamb | Dentist | 4360 Boardwalk Dr Ste 200, Fort Collins, CO 80525-5940 | 2007-01-18 |
| 1255481552 | Bradley Eugene Goings | Dentist | 4733 S Timberline Rd Ste 101, Fort Collins, CO 80528-3023 | 2007-01-11 |
| 1669521530 | Paul Meyers Sherick | Dentist | 1136 E Stuart St Ste 2160, Fort Collins, CO 80525-1197 | 2007-01-09 |
| 1811907264 | Donna L Ebert | Dentist | 1028 Centre Ave, Fort Collins, CO 80526-1849 | 2006-08-08 |
| 1942228143 | David L Way | Dentist | 1424 E Horsetooth Rd Ste 1, Fort Collins, CO 80525-5726 | 2006-07-17 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on DR. WILLIAM WALTER IVERSEN.
| 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.