DR. MICHAEL EDWARD DAETWYLER D.D.S
NPI 1225484629
Dentist - Oral and Maxillofacial Surgery in Fort Collins, CO

Q: What is Michael Daetwyler's NPI number?

The NPI number for Michael Daetwyler is 1225484629. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Michael Daetwyler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Michael Daetwyler enrolled in Medicare?

No. Michael Daetwyler has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Michael Daetwyler was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 04, 2016Opted out of Medicare · through Sep 1, 2026

2014 CARIBOU DR STE 100, FORT COLLINS, CO 80525(970) 225-9555(970) 223-2294 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Michael Edward Daetwyler D.d.s NPPES

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

DR. MICHAEL EDWARD DAETWYLER D.D.S (NPI 1225484629) is an individual oral and maxillofacial surgery provider in Fort Collins, Colorado, licensed in Colorado (DEN.00204321) and active in the NPI registry since May 2016. He has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1225484629

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. MICHAEL EDWARD DAETWYLERCredential: D.D.S

Location Address2014 CARIBOU DR STE 100Fort Collins, CO 80525-4330

Mailing Address2014 Caribou Dr Ste 100Fort Collins, CO 80525-4330 · (970) 225-9555 · Fax (970) 223-2294

Phone(970) 225-9555

Fax(970) 223-2294

Sole ProprietorNo

Enumeration DateMay 4, 2016

Last NPPES UpdateDecember 21, 2022

NPPES CertifiedDecember 21, 2022

✔ NPI 1225484629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CO · DEN.00204321

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2014 CARIBOU DR STE 100, Fort Collins, CO 80525

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Edward Daetwyler D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2022 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2022

Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

FORT COLLINS ORAL & MAXILLOFACIAL SURGERY PARTNERSHIP

Oral & Maxillofacial Surgery

2014 CARIBOU DR STE 100
FORT COLLINS, CO 80525

Larimer County (970) 225-9555

ERIN E OTTERSLAND SA.0002989

Dental Assistant

2014 CARIBOU DR STE 100
FORT COLLINS, CO 80525

Larimer County (970) 225-9555

MRS. NICOLE W. MCGEE DA

Specialist/Technologist, Other (Illustration, Medical)

2014 CARIBOU DR STE 100
FORT COLLINS, CO 80525

Larimer County (970) 225-9555

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 Daetwyler's NPI number?

The NPI number for Michael Daetwyler is 1225484629. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Michael Daetwyler located?

Michael Daetwyler practices at 2014 Caribou Dr Ste 100, Fort Collins, CO 80525. The listed phone number is (970) 225-9555.

What is Michael Daetwyler's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Daetwyler enrolled in Medicare?

No. Michael Daetwyler has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Daetwyler was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.