Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. John Michael Durussel, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry in Evergreen, CO · enumerated 2014 · practices at Pediatric Dental Group of Evergreen.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669890125

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. John Michael Durussel

Credential DDS, MS

Sex Male

Practice address Evergreen, CO, 80439

Phone (303) 674-1122

Enumeration date Apr 2, 2014

Last updated in NPPES Mar 18, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License DEN.00202186 (CO) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
62350277	Medicaid	CO	-
DEN.00202186	Other	CO	CO DENTAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is John Durussel?

John Durussel is registered in NPPES with the primary taxonomy of Orthodontics and Dentofacial Orthopedics Dentistry. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

Pediatric Dental Group of Evergreen Pediatric Dentistry · Evergreen, CO NPI 1619774528

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-18.