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TODD DEXTRADEUR MD PC NPI 1881864072


NPI Information

NPI: 1881864072
Provider Name: TODD DEXTRADEUR MD PC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
51 W. 84TH AVE
STE 300
THORNTON, CO
ZIP 80260
Phone: (720) 289-8184
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TODD DEXTRADEUR MD PC is an internal medicine in Thornton, CO. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TODD DEXTRADEUR MD PC NPI is 1881864072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

51 W. 84TH AVE
STE 300
THORNTON, CO
ZIP 80260-883
Phone: (720) 289-8184
Fax: (303) 457-2341

The provider's authorized official is Todd C. Dextradeur .
The authorized official title is Owner/physician and has the following contact phone number (720) 289-8184.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 10/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep Medicine35500COLORADONo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135500OTHERCOLORADOMEDICAL LIC
201355007MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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