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COLTON KEN DESSERT
NPI 1750959110
Military Health Care Provider in Jbsa Lackland, TX

Active since June 14, 2021
2200 BERGQUIST DR STE 1, JBSA LACKLAND, TX 78236(210) 292-7412 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colton Ken Dessert NPPES

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

COLTON KEN DESSERT (NPI 1750959110) is an individual military health care provider provider in Jbsa Lackland, Texas and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1750959110
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameCOLTON KEN DESSERT
Location Address2200 BERGQUIST DR STE 1Jbsa Lackland, TX 78236-9908
Mailing Address9132 Truemper Street, Unit 9132Lackland Afb, TX 78236 · (916) 865-7567
Phone(210) 292-7412
Sole ProprietorNo
Enumeration DateJune 14, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1750959110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2200 BERGQUIST DR STE 1, Jbsa Lackland, TX 78236
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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.

RISA CAVALCANTI RIEPMA RD
Dietitian, Registered
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND AFB, TX 78236
Bexar County (210) 292-5737
DR. JILL L STERLING M.D.
Internal Medicine (Critical Care Medicine)
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-7195
MR. JARED BRIAN COOPER
Student in an Organized Health Care Education/Training Program
2200 BERGQUIST DR STE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-5968
JENNY H. RAINWATER AU.D.
Audiologist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. SUSAN WRIGHT MONGEAU DDS, MPH
Dentist (Dental Public Health)
2200 BERGQUIST DR STE 1
LACKLAND AFB, TX 78236
Bexar County (210) 925-1846
MR. THOMAS LOUIS DUQUETTE P.T.
Physical Therapist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. JAMES R.T. BALES M.D.
Orthopaedic Surgery
2200 BERGQUIST DR STE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-5875
MS. SONJA L BANKS-GAY RPH
Pharmacist
2200 BERGQUIST DR STE 1
LACKLAND, TX 78236
Bexar County (210) 292-7100

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 Colton Dessert's NPI number?

The NPI number for Colton Dessert is 1750959110. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Colton Dessert located?

Colton Dessert practices at 2200 Bergquist Dr Ste 1, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-7412.

What is Colton Dessert's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Colton Dessert was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.