IndividualActive
Keith Van Tassell, D.D.S.
NPI 1366585408 · Pediatric Dentistry · Fort Collins, CO
Keith Van Tassell, D.D.S. is a Pediatric Dentistry provider in Fort Collins, CO (NPI 1366585408).
Provider details
- NPI number
- 1366585408
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9197 (CO)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2001 S Shields St Bldg a
Suite 2
Fort Collins, CO 80526-1827
Phone: (970) 484-4104
Fax: (970) 484-5245
Street-level locationGet directions
Mailing address
2001 S Shields St Bldg a
Fort Collins, CO 80526-1827
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Keith Van Tassell's NPI number?
- Keith Van Tassell's National Provider Identifier (NPI) is 1366585408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Van Tassell's specialty?
- Keith Van Tassell is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Keith Van Tassell located?
- Keith Van Tassell's practice location on file with NPPES is 2001 S Shields St Bldg a, Fort Collins, CO 80526-1827.
- What is Keith Van Tassell's phone number?
- The practice phone number listed in the NPPES registry for Keith Van Tassell is (970) 484-4104.
- Is Keith Van Tassell's NPI active?
- Yes — Keith Van Tassell's NPI (1366585408) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.