TRACY DEPERALTA DMD
NPI 1548519341
Dentist in Aurora, CO
NPI Status: Active since September 07, 2012
- Individual
- Female
- Dentist
- Opted-Out Medicare
About TRACY DEPERALTA
This page provides the complete NPI Profile along with additional information for Tracy Deperalta, a provider established in Aurora, Colorado with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1548519341 assigned on September 2012. The practitioner's primary taxonomy code is 122300000X with license number DEN.00204232 (CO). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1548519341
- Provider Name
- TRACY DEPERALTA DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13065 E 17TH AVE AURORA, CO 80045
- Location Phone
- (303) 724-9540
- Mailing Address
- SCHOOL OF DENTAL MEDICINE UNIVERSITY OF COLORADO 13065 EAST 17TH AVENUE DENVER, CO 80045
- Mailing Phone
- (303) 724-9540
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2012
- Last Update Date
- 08-04-2020
- Code Navigator
A dentist like Tracy Deperalta is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Tracy Deperalta opted out of Medicare effective on 02-27-2023 until 02-27-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- DEN.00204232
- License State
- CO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 2901020813 (MI) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-27-2023
Opt-Out End Date: 02-27-2025
Eligible to Order and Refer? No
Reviews for TRACY DEPERALTA DMD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 5 | 1 | 9 | 3 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 10 | 1 | 18 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 0 + 1 + 1 + 8 + 3 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1548519341 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639146228 | DR. HOWARD EUGENE BROOKS DDS Individual | Dentist (General Practice) | 13065 E 17TH AVE ROOM 230B AURORA, CO 80045 (303) 724-7158 |
| 1356519540 | DR. PINELOPI XENOUDI Individual | Dentist (Periodontics) | 13065 E 17TH AVE UNIVERSITY OF COLORADO, SCHOOL OF DENTAL MEDICINE AURORA, CO 80045 (303) 724-0695 |
| 1225284466 | RANDY LEE KLUENDER Individual | Dentist (Pediatric Dentistry) | 13065 E 17TH AVE MAIL STOP F840 AURORA, CO 80045 (303) 724-6931 |
| 1851613574 | DAVID FERNANDO MORENO D.D.S Individual | Dentist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-5505 |
| 1982928172 | DR. ENRIQUE HERNANDEZ D.D.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 13065 E 17TH AVE MAIL STOP F849 AURORA, CO 80045 (303) 724-6995 |
| 1073838702 | DR. SALLY PRESTON D.M.D. Individual | Dentist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-6941 |
| 1295048841 | DR. JAMES JACK Individual | Dentist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-7110 |
| 1376843250 | DR. ELIZABETH TOWNE WILSON DDS Individual | Dentist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-7084 |
| 1598066367 | LOIS RZASA Individual | Dental Hygienist | 13065 E 17TH AVE MS-F847 AURORA, CO 80045 (303) 724-6978 |
| 1104127695 | UNIVERSITY OF COLORADO SCHOOL OF DENTAL MEDICINE Organization | Clinic/Center (Dental) | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-7044 |
| 1033411335 | PROF. MARY JOANN PANEM LECLAIRE R.D.H., M.S. Individual | Dental Hygienist | 13065 E 17TH AVE MAIL STOP F834 AURORA, CO 80045 (303) 724-7037 |
| 1154623999 | CATHY M WINTER RDH Individual | Dental Hygienist | 13065 E 17TH AVE MAIL STOP F837 AURORA, CO 80045 (303) 724-6941 |
| 1316249121 | PROF. DONNA JANINA STACH RDH Individual | Dental Hygienist | 13065 E 17TH AVE MAIL STOP F848 AURORA, CO 80045 (303) 724-7042 |
| 1114216587 | ARMANTINE LEHN RDH Individual | Dental Hygienist | 13065 E 17TH AVE ROOM #104 MAIL STOP-F834 AURORA, CO 80045 (303) 724-7110 |
| 1912294695 | MRS. VICTORIA LEE RESCHLY RDH Individual | Dental Hygienist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-5505 |
| 1518243435 | PHYLLIS C RODASTI RDH Individual | Dental Hygienist | 13065 E 17TH AVE MAIL STOP F742 AURORA, CO 80045 (303) 724-5505 |
| 1083986962 | MRS. LINDA SUE BALLARD RDH Individual | Dental Hygienist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-5055 |
| 1528317641 | DR. ADRIANA STEFANI LAMOUNIER DDS Individual | Dentist | 13065 E 17TH AVE AURORA, CO 80045 (303) 724-7482 |
| 1508269945 | MRS. HEIDI ANN TYRRELL R.D.H., BA Individual | Dental Hygienist | 13065 E 17TH AVE MAIL STOP F839 AURORA, CO 80045 (303) 724-8462 |
| 1700257573 | REGENTS OF THE UNIVERSITY OF COLORADO Organization | Oral & Maxillofacial Surgery | 13065 E 17TH AVE MAIL STOP F742 AURORA, CO 80045 (303) 724-5509 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548519341, enumerated in the NPI registry as an "individual" on September 07, 2012
The provider is located at 13065 E 17th Ave Aurora, Co 80045 and the phone number is (303) 724-9540
The provider's speciality is Dentist with taxonomy code 122300000X
No, the provider signed an affidavit on February 27, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 27, 2025.
This NPI record was last updated on September 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.