Dexter D Koons MD PC
Dexter D Koons MD PC is a healthcare organization registered as Specialist in Pueblo, CO, holding Type 2 (organization) NPI 1336102086 since 2006. The authorized official on file is Dexter Koons, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336102086 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dexter D Koons MD PC |
| Practice address | 400 W 16TH ST, Pueblo, CO, 81003 |
| Phone | 7193203515 |
| Fax | 7195431309 |
| Enumeration date | 2006-04-11 |
| Last updated in NPPES | 2016-11-10 |
Authorized official
| Name | Dexter Koons |
|---|---|
| Title | Owner |
| Phone | 7192966872 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04013876 | Medicaid | CO | — |
Copy-ready billing details
Provider: Dexter D Koons MD PC NPI: 1336102086 Taxonomy: 174400000X (Specialist) Address: 400 W 16TH ST, Pueblo, CO, 81003
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1992700694 | James Caldwell | Individual | Anesthesiology Physician | Pueblo, CO |
| 1336144997 | Paul Rau | Individual | Certified Registered Nurse Anesthetist | Pueblo, CO |
| 1649276460 | Elizabeth Cornwell | Individual | Certified Registered Nurse Anesthetist | Pueblo, CO |
| 1710984307 | Jacki Kipe | Individual | Certified Registered Nurse Anesthetist | Pueblo, CO |
| 1164420543 | Ann Van Valkenburg | Individual | Certified Registered Nurse Anesthetist | Pueblo, CO |
| 1528068228 | Dexter Koons | Individual | Neurological Surgery Physician | Pueblo, CO |
| 1831191345 | Frank Martinez | Individual | Emergency Medicine Physician | Pueblo, CO |
| 1215922745 | Cynthia Gardiner | Individual | Certified Registered Nurse Anesthetist | Pueblo, CO |
Verify this record
Cross-check NPI 1336102086 against the authoritative CMS record: view Dexter D Koons MD PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Dexter D Koons MD PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-10.