MR. FLOYD MARIANO WILFERT (NPI# 1528573177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528573177 |
| Entity Type | Individual |
| Full Name | MR. FLOYD MARIANO WILFERT |
| Credential | LAB TECHNICIAN |
| Practice Address |
1631 Wetzel Ave Bldg 815 Fort Carson CO 80913-4095 |
| Practice Telephone | 7195265537 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126900000X | Dental Laboratory Technician | Dental Providers |
| Street Address |
1631 WETZEL AVE BLDG 815 |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821073545 | Ramie Kent Barfuss | Dentist | 1631 Wetzel Ave Bldg 815, Usa Dentac, Fort Carson, CO 80913-4095 | 2005-12-14 |
| 1609406735 | Kristin Jessica Clawdine Barbosa | Dental Assistant | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2020-01-16 |
| 1497395776 | Andrew Michael Reed | Dental Assistant | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2020-01-14 |
| 1669010955 | Veronica Zambranoloor | Dental Assistant | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-12-17 |
| 1770130403 | Daisy Marie Gutierrez | Dental Assistant | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-08-19 |
| 1952956443 | Emily Louise Eickhoff | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-08-02 |
| 1487208187 | David Isaac Liberman | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-07-31 |
| 1194379891 | Donald Richard Demichele II | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-07-31 |
| 1134773849 | Andy Von Bergen | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-07-31 |
| 1700430402 | Ian Nicolas Prins | Dentist | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 126900000X |
| Grouping | Dental Providers |
| Classification | Dental Laboratory Technician |
| An individual who has the skill and knowledge in the fabrication of dental appliances, prostheses and devices in accordance with a dentist's laboratory work authorization. To avoid misleading the public, no occupational title other than dental laboratory technician or certified dental technician (when appropriate) should be used to describe this auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125563 | Andrena Michelle Fennel | Dental Laboratory Technician | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2019-07-01 |
| 1407361884 | John Frederick Neiger | Dental Laboratory Technician | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2017-12-07 |
| 1790290179 | Jeffrey D Rykhus | Dental Laboratory Technician | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2017-12-07 |
| 1891200333 | Steven A Gonsalves | Dental Laboratory Technician | 1631 Wetzel Ave Bldg 815, Fort Carson, CO 80913-4095 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578078952 | Joanne Marie Ortega | Dental Laboratory Technician | 8296 Firecracker Trl, Fountain, CO 80817 | 2017-12-07 |
| City | FORT CARSON |
| Zip Code | 80913 |
Please comment or provide details below to improve the information on MR. FLOYD MARIANO WILFERT.
| 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.