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DEXTER D KOONS MD PC
NPI 1336102086
Specialist in Pueblo, CO

Active since April 11, 2006
400 W 16TH ST, PUEBLO, CO 81003(719) 320-3515(719) 543-1309 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dexter D Koons Md Pc NPPES

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

DEXTER D KOONS MD PC (NPI 1336102086) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since April 2006. The organization lists Dexter D Koons, Owner, as its authorized official.

NPPES Registry Identity

NPI1336102086
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEXTER D KOONS MD PC
Location Address400 W 16TH STPueblo, CO 81003-2745
Mailing AddressPo Box 8561Pueblo, CO 81008-8561 · (719) 320-3515 · Fax (719) 543-1309
Phone(719) 320-3515
Fax(719) 543-1309
Organization SubpartNo
Authorized OfficialDexter D KoonsOwner · (719) 296-6872
Enumeration DateApril 11, 2006
Last NPPES UpdateNovember 10, 2016
✔ NPI 1336102086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
400 W 16TH ST, Pueblo, CO 81003
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Other Identifiers 2

Medicare PINC419308CO
Medicaid04013876CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MISS EMILY ANNE KEARNEY RDN
Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4994
CHRISTOPHER JON STARK
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-2218
MARY RUSSO DO
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4306
DR. DARYA BLEDNOVA MD
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (970) 624-2403
LARA KJURSTON KNOWLES CRNA
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000
KAYLA TOENNIS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
DR. SHAUN MICHAEL PITTS DO
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 595-7585
JAMIE YI
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Pueblo County (719) 584-4000

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 Dexter D Koons MD PC's NPI number?

The NPI number for Dexter D Koons MD PC is 1336102086. It was assigned to this organization in the NPPES registry on April 11, 2006.

Where is Dexter D Koons MD PC located?

Dexter D Koons MD PC is located at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 320-3515.

What is Dexter D Koons MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dexter D Koons MD PC was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.