DR. MADELYN LOUISE STUMPOS (NPI# 1588185912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588185912 |
| Entity Type | Individual |
| Full Name | DR. MADELYN LOUISE STUMPOS |
| Credential | DDS |
| Practice Address |
3445 Salida St Ste 30 Aurora CO 80011-5000 |
| Mailing Address |
111 W Beaver Creek Blvd Unit 6145 Avon CO 81620-5158 |
| Practice Telephone | 3033663383 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DEN.00204221 | CO | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2730 Sw Moody Ave, Portland, OR 972015042 | 5034948867 |
| Street Address |
3445 SALIDA ST STE 30 |
| City | AURORA |
| State | CO |
| Zip Code | 80011-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104106095 | Green Valley Ranch Modern Smiles and Orthodontics, LLP | Dentist | 3445 Salida St Ste 30, Aurora, CO 80011-5000 | 2011-08-23 |
| 1497213342 | Tara Lynn Sears | Dentist | 3445 Salida St Ste 30, Aurora, CO 80011-5000 | 2019-03-11 |
| 1205322344 | Amanda Nicole Herbst | Dentist | 3445 Salida St Ste 30, Aurora, CO 80011-5000 | 2018-07-01 |
| 1316386949 | Dana Noelle Vilar | Dentist | 3445 Salida St Ste 30, Aurora, CO 80011-5000 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| 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 |
|---|---|---|---|---|
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1356850002 | Kathleen Elverman | Dentist | 13065 East 17th Avenue, Mail Stop F846, Aurora, CO 80045 | 2017-09-26 |
| 1073042370 | Theresa Shaver Orthodontics | Dentist | 5001 S Parker Rd Ste 201, Aurora, CO 80015-1183 | 2017-06-08 |
| 1700255676 | Colorado Orthodontics | Dentist | 2993 S Peoria St Ste 260, Aurora, CO 80014-5710 | 2015-09-21 |
| 1932447026 | Winsmile Orthodontics & Cosmetic Dentistry | Dentist | 633 S Route 59, Aurora, IL 60504-8169 | 2013-01-23 |
| 1972866077 | Kristen Lowe | Dentist | 13123 E 16th Ave # 240, Aurora, CO 80045-7106 | 2012-06-22 |
| 1851626691 | Gary Lippincott | Dentist | 70 S Constitution Dr, 102, Aurora, IL 60506-7341 | 2009-10-13 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| 1396940003 | Daniel John Rejman | Dentist | 15159 E Colfax Ave Unit B, Aurora, CO 80011-5707 | 2007-06-21 |
| 1194845602 | Roger B Elton | Dentist | 5657 S Himalaya St Ste 110, Aurora, CO 80015-5308 | 2007-03-29 |
| Find all providers in AURORA | ||||
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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.