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DR. J RYAN MICKELSON D.D.S.
NPI 1346351624
Dentist - General Practice in Durango, CO

Active since August 31, 2006PECOS Enrolled
2530 COLORADO AVE, SUITE 1A, DURANGO, CO 81301(970) 247-0174 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. J Ryan Mickelson D.d.s. NPPES

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

DR. J RYAN MICKELSON D.D.S. (NPI 1346351624) is an individual general practice provider in Durango, Colorado, licensed in Colorado (8630) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346351624
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. J RYAN MICKELSONCredential: D.D.S.
Location Address2530 COLORADO AVE, SUITE 1ADurango, CO 81301-4760
Mailing Address2530 Colorado Ave, Suite 1aDurango, CO 81301-4760 · (970) 247-0174
Phone(970) 247-0174
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 15, 2024
NPPES CertifiedFebruary 15, 2024
✔ NPI 1346351624 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 · 8630✔ Licensed in ID · D-4547✔ Licensed in NM · DD3644
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.
2530 COLORADO AVE, Durango, CO 81301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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. J Ryan Mickelson D.d.s. 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 81301 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 6

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

EMILY NEWCOMER LPC
Counselor (Professional)
2530 COLORADO AVE, STE 2A
DURANGO, CO 81301
La Plata County (970) 903-7517
LINDSAY STONECASH
Social Worker (Clinical)
2530 COLORADO AVE, 2A
DURANGO, CO 81301
La Plata County (970) 946-8002
J RYAN MICKELSON DDS, INC.
Dentist (General Practice)
2530 COLORADO AVE, STE 1A
DURANGO, CO 81301
La Plata County (970) 247-0174
MRS. MIKEL DIONNE LOVE MS RD
Dietitian, Registered
2530 COLORADO AVE, SUITE 2A
DURANGO, CO 81301
La Plata County (970) 259-1712
MS. TERRY A. LEONARD
Acupuncturist
2530 COLORADO AVE, SUITE 2A
DURANGO, CO 81301
La Plata County (970) 382-0321
WELLSPRING ACUPUNCTURE AND ORIENTAL MEDICINE, PLLC
Acupuncturist
2530 COLORADO AVE, SUITE 2A
DURANGO, CO 81301
La Plata County (970) 382-0321

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 J Mickelson's NPI number?

The NPI number for J Mickelson is 1346351624. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is J Mickelson located?

J Mickelson practices at 2530 Colorado Ave Suite 1A, Durango, CO 81301. The listed phone number is (970) 247-0174.

What is J Mickelson's specialty?

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

Is J Mickelson enrolled in Medicare?

Yes. J Mickelson is registered in the Medicare PECOS enrollment system.

What insurance does J Mickelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 13 other insurers list J Mickelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for J Mickelson was last updated on February 15, 2024. 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.