DR. JOHN MICHAEL DURUSSEL


Address: 1739 Main St, Longmont, CO 80501-2035
Phone: 3038346400

DR. JOHN MICHAEL DURUSSEL (NPI# 1669890125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669890125
Entity Type Individual
Full Name DR. JOHN MICHAEL DURUSSEL
Credential D.D.S.
Practice Address 1739 Main St
Longmont
CO 80501-2035
Mailing Address 2221 E Bijou St Ste 100
Colorado Springs
CO 80909-8009
Practice Telephone 3038346400
Practice Fax Number 3038346414
Mailing Telephone 7195761850
Mailing Fax Number 7199553470
Enumeration Date 2014-04-02
Last Update Date 2019-06-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DEN.00202186 CO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 62350277 05
CO CO DENTAL LICENSE DEN.00202186 01

Office Location

Street Address 1739 MAIN ST
City LONGMONT
State CO
Zip Code 80501-2035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417006875 Julie Ann Devlin Dentist 1739 Main St, Longmont, CO 80501-2035 2007-01-08
1700372885 Monica Marie Montoya Dentist 1739 Main St, Longmont, CO 80501-2035 2018-07-02
1588160113 Sara Dean Schutte Dentist 1739 Main St, Longmont, CO 80501-2035 2018-04-03
1326398967 Anne-marie Palmer Optometrist 1739 Main St, Longmont, CO 80501-2035 2012-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598376774 Boulder County Public Health Public Health or Welfare 515 Coffman Street, Suite 200, Longmont, CO 80501 2020-08-12
1164032827 Kidstuff Child and Family Counseling, P.C. Marriage & Family Therapist 360 15th Ave, Ste. 104, Longmont, CO 80501 2020-08-06
1861036501 Stateserv Medical of Colorado Durable Medical Equipment & Medical Supplies 63 South Pratt Pkwy, Landmont, CO 80501 2019-11-06
1558915090 Array Clinical and Therapeutic Services Assistant Behavior Analyst 451 21st Ave. Suite B, Longmont, CO 80501 2019-08-01
1275195042 Alisa Marie Schwegerl Speech-Language Pathologist 1800 Stroh Place, Longmont, CO 80501 2019-07-02
1295298545 Jovahna Pena Counselor Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 2019-04-12
1659845568 University Physicians Incorporated Advanced Practice Midwife 2030 Mountain View Ave Ste 400, Longmont, CO 80501 2019-01-14
1013404714 Crafted Physical Therapy Pllc Physical Therapist 701 Delaware Ave Unit E, Longmont, CO 80501 2018-04-18
1588110860 Randall Bonnom Counselor 420 21st Ave #113, Longmont, CO 80501 2016-08-28
1225401771 Sowash Optometry Group, PC Eyewear Supplier (Equipment, not the service) 1242 S. Hover Street, Suite C200, Longmont, CO 80501 2015-11-05
Find all providers in zip 80501

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568797256 Stephanie Ross Dentist 1520 S Hover Rd, Longmont, CO 80501-7959 2009-10-13
1043454317 Laurel Rae Leslie-martin Dentist 1361 Francis St Ste 104, Longmont, CO 80501-2545 2009-04-29
1417095894 Melissa Wilson Venrick Dentist 1055 17th Ave Ste 103, Longmont, CO 80501-2647 2007-02-01
1063570760 Richard L Mcmanaman Dentist 1600 Hover St, Suite D-1, Longmont, CO 80501-2462 2006-12-05
1780613778 F Richard Beckwith Dentist 1800 Mountain View Ave, Longmont, CO 80501-3212 2006-07-02
1588160113 Sara Dean Schutte Dentist 1739 Main St, Longmont, CO 80501-2035 2018-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750996641 Simko Orthodontics of Colorado, PC Dentist 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 2020-09-09
1457977407 Ingrid De La Torre Dentist 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 2020-06-24
1205450525 David Wayne Hamula Dentist 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 2020-06-02
1285260927 Johnson Orthodontics Dentist 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 2020-03-13
1003441049 Johnson Orthodontics Dentist 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 2020-03-10
1396379012 Ascend Group Pllc Dentist 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 2020-03-03
1720619497 Irina Sharp Dentist 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 2020-01-30
1871124651 Jeffrey L Collins Dds PC Dentist 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 2020-01-30
1740829290 Charles F Reed Dds Ms PC Dentist 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 2020-01-02
1790324770 Pine Top Orthodontics PC Dentist 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 2019-12-23
Find all providers with the same taxonomy

Competitor

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City LONGMONT
Zip Code 80501

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Dataset Information

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.

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