DR. JOHN MICHAEL DURUSSEL DDS, MS
NPI 1669890125
Dentist - Orthodontics and Dentofacial Orthopedics in Evergreen, CO

Active since April 02, 2014
30960 STAGECOACH BLVD STE W100, EVERGREEN, CO 80439(303) 674-1122 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Jun 13, 2019 (2 updates tracked since 2019).

About Dr. John Michael Durussel Dds, Ms NPPES

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

DR. JOHN MICHAEL DURUSSEL DDS, MS (NPI 1669890125) is an individual orthodontics and dentofacial orthopedics provider in Evergreen, Colorado, licensed in Colorado (DEN.00202186) and active in the NPI registry since April 2014. He maintains a secondary practice location in Longmont.

NPPES Registry Identity

NPI1669890125
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. JOHN MICHAEL DURUSSELCredential: DDS, MS
Location Address30960 STAGECOACH BLVD STE W100Evergreen, CO 80439-7902
Mailing Address6992 Lynx Lair RdEvergreen, CO 80439 · (989) 284-4581
Sole ProprietorYes
Enumeration DateApril 2, 2014
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
NPI 1669890125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CO · DEN.00202186
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

30960 STAGECOACH BLVD STE W100, Evergreen, CO 80439

Secondary Practice Location 1

Location 11739 Main StLongmont, CO 80501-2035 · Phone (303) 834-6400 · Fax (303) 834-6414

Other Identifiers 2

OtherDEN.00202186CO · Co Dental License
Medicaid62350277CO

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
30960 STAGECOACH BLVD STE W100
EVERGREEN, CO 80439

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 John Durussel's NPI number?

The NPI number for John Durussel is 1669890125. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is John Durussel located?

John Durussel practices at 30960 Stagecoach Blvd Ste W100, Evergreen, CO 80439. The listed phone number is (303) 674-1122.

What is John Durussel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does John Durussel accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list John Durussel 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 John Durussel was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.