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TRACY DEPERALTA DMD
NPI 1548519341
Dentist in Aurora, CO

Active since September 07, 2012Opted out of Medicare · through Feb 27, 2027
13065 E 17TH AVE, AURORA, CO 80045(303) 724-9540 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2020, Jul 20, 2020 (2 updates tracked since 2020).

About Tracy Deperalta Dmd NPPES

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

TRACY DEPERALTA DMD (NPI 1548519341) is an individual dentist in Aurora, Colorado, licensed in Colorado (DEN.00204232) and active in the NPI registry since September 2012. She has opted out of Medicare through February 27, 2027.

NPPES Registry Identity

NPI1548519341
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTRACY DEPERALTACredential: DMD
Location Address13065 E 17TH AVEAurora, CO 80045-2532
Mailing AddressSchool Of Dental Medicine University Of Colorado, 13065 East 17th AvenueDenver, CO 80045-1078 · (303) 724-9540
Phone(303) 724-9540
Sole ProprietorNo
Enumeration DateSeptember 7, 2012
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
✔ NPI 1548519341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · DEN.00204232
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901020813 (MI)
13065 E 17TH AVE, Aurora, CO 80045
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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

Tracy Deperalta Dmd 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 February 27, 2023 through February 27, 2027.

Opt-Out Effective DateFebruary 27, 2023
Opt-Out In Effect ThroughFebruary 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. AMY GAIL MASON DDS
Dentist (Prosthodontics)
13065 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-5393
PROF. MARY JOANN PANEM LECLAIRE R.D.H., M.S.
Dental Hygienist
13065 E 17TH AVE, MAIL STOP F834
AURORA, CO 80045
Adams County (303) 724-7037
DR. TROY KIT CHOW DDS
Student in an Organized Health Care Education/Training Program
13065 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-6941
JIE LIU DDS, PHD
Dentist (Orthodontics and Dentofacial Orthopedics)
13065 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-6990
DR. SALLY PRESTON D.M.D.
Dentist
13065 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-6941
MRS. LINDA SUE BALLARD RDH
Dental Hygienist
13065 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-5055
UNIVERSITY OF COLORADO SCHOOL OF DENTAL MEDICINE
Clinic/Center (Dental)
13065 E 17TH AVE
AURORA, CO 80045
Adams County (303) 724-7044
ARMANTINE LEHN RDH
Dental Hygienist
13065 E 17TH AVE, ROOM #104 MAIL STOP-F834
AURORA, CO 80045
Adams County (303) 724-7110

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 Tracy Deperalta's NPI number?

The NPI number for Tracy Deperalta is 1548519341. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Where is Tracy Deperalta located?

Tracy Deperalta practices at 13065 E 17th Ave, Aurora, CO 80045. The listed phone number is (303) 724-9540.

What is Tracy Deperalta's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tracy Deperalta enrolled in Medicare?

No. Tracy Deperalta has opted out of Medicare through February 27, 2027. 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 Tracy Deperalta was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.