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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL ANTHONY DEROSE
NPI 1033185871
Dentist - General Practice in Pueblo, CO

Active since February 23, 2006
1022 LIBERTY LN, PUEBLO, CO 81001(719) 545-5778 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Anthony Derose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ANTHONY DEROSE (NPI 1033185871) is an individual general practice provider in Pueblo, Colorado, licensed in Colorado (DEN-5133) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1033185871
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMICHAEL ANTHONY DEROSE
Location Address1022 LIBERTY LNPueblo, CO 81001-2039
Mailing Address415 N Grand AvePueblo, CO 81003-3111 · (719) 546-3333
Phone(719) 545-5778
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1033185871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CO · DEN-5133✔ Licensed in IN · 12010424A✔ Licensed in OK · 5643✔ Licensed in NM · DD2030✔ Licensed in KS · 60184
Definition
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.
1022 LIBERTY LN, Pueblo, CO 81001
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Other Identifiers 1

Medicaid2051332CO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRACES4KIDS, PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1022 LIBERTY LN
PUEBLO, CO 81001
Pueblo County (970) 523-6333
SONIA EL-KWEIFI
Dentist (General Practice)
1022 LIBERTY LN
PUEBLO, CO 81001
Pueblo County (719) 621-9682
FAMILY & KIDS DENTAL PC
Dentist (General Practice)
1022 LIBERTY LN
PUEBLO, CO 81001
Pueblo County (719) 545-5778
DEROSE CHILDREN'S DENTAL CLINIC, PC
Dentist (General Practice)
1022 LIBERTY LN
PUEBLO, CO 81001
Pueblo County (719) 545-5775
ADOLPH RALPH PADULA DDS
Dentist (General Practice)
1022 LIBERTY LN
PUEBLO, CO 81001
Pueblo County (719) 545-5778
DR. KUNJAN KAKAR DDS
Dentist
1022 LIBERTY LN
PUEBLO, CO 81001
Pueblo County (719) 545-5778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Derose's NPI number?

The NPI number for Michael Derose is 1033185871. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Michael Derose located?

Michael Derose practices at 1022 Liberty Ln, Pueblo, CO 81001. The listed phone number is (719) 545-5778.

What is Michael Derose's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Derose was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.