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DR. DOROTHY ELLEN DISTELHORST DDS
NPI 1154434082
Dentist - General Practice in Avon, CO

Active since August 16, 2006PECOS Enrolled
51 EAGLE RD # A1, AVON, CO 81620(970) 479-0408(970) 479-7903 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2023, May 6, 2023 (2 updates tracked since 2023).

About Dr. Dorothy Ellen Distelhorst Dds NPPES

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

DR. DOROTHY ELLEN DISTELHORST DDS (NPI 1154434082) is an individual general practice provider in Avon, Colorado, licensed in Colorado (6533) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vail.

NPPES Registry Identity

NPI1154434082
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DOROTHY ELLEN DISTELHORSTCredential: DDS
Location Address51 EAGLE RD # A1Avon, CO 81620-5991
Mailing AddressPo Box 5680Avon, CO 81620-5680 · (970) 479-0408 · Fax (970) 479-7903
Phone(970) 479-0408
Fax(970) 479-7903
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1154434082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 6533
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.
51 EAGLE RD # A1, Avon, CO 81620
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Secondary Practice Location 1

Location 14592 Streamside Circle EastVail, CO 81657-4592 · Phone (970) 479-0408 · Fax (970) 479-7903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dorothy Ellen Distelhorst Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ALEXANDRA HOLLOWAY URBANA DMD
Dentist (General Practice)
51 EAGLE RD # A1
AVON, CO 81620
Eagle County (970) 479-0408

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 Dorothy Distelhorst's NPI number?

The NPI number for Dorothy Distelhorst is 1154434082. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Dorothy Distelhorst located?

Dorothy Distelhorst practices at 51 Eagle Rd # A1, Avon, CO 81620. The listed phone number is (970) 479-0408.

What is Dorothy Distelhorst's specialty?

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

Is Dorothy Distelhorst enrolled in Medicare?

Yes. Dorothy Distelhorst is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dorothy Distelhorst was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.