Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346351624 Individual Practitioner Male Practitioner

Dr. J Ryan Mickelson , DDS

Dentist - General Practice • Durango, CO

Professional Overview & Biography Verified Profile Summary

Dr. J Mickelson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Durango, CO. Practice services are available at 2530 COLORADO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2530 Colorado Ave
Suite 1a

Durango, CO 813014760

Telephone 9702470174
Associated Practice Facility / Clinic
🏢 J Ryan Mickelson Dds, Inc. Facility NPI 1437438389

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Durango, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
22 Specialists

Practicing in Durango, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 8630

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License ID D-4547

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NM DD3644

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Emily Newcomer , LPC

Counselor - Professional

NPI 1245695451

Licensed Professional Counselor

Lindsay Stonecash

Social Worker - Clinical

NPI 1376823518
Dr. P. Funk , PhD

Psychologist - Clinical

NPI 1508899667

Doctor of Philosophy (Ph.D.)

Dr. Luann Ellis , PhD

Psychologist - Clinical

NPI 1649489147

Doctor of Philosophy (Ph.D.)

Mikel Love , MS RD

Dietitian, Registered

NPI 1699932129

MSRD

Terry Leonard

Acupuncturist

NPI 1801851407

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2530 COLORADO AVE, SUITE 1A, DURANGO, CO 813014760 (Tel: 9702470174)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2530 COLORADO AVE, SUITE 1A, DURANGO, CO 813014760 (Tel: 9702470174)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as J MICKELSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8630 in CO)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. J Mickelson. Be the first to share your experience!

Sign in to leave a review for Dr. J Mickelson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346351624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: February 15, 2024
Sole Proprietor: Yes

Mailing Address

2530 Colorado Ave, Suite 1a

Durango, CO 813014760

Phone: 9702470174

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.