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Michael Derose
NPI 1033185871 · on the registry since 2006
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Licence revoked, suspended or surrendered
- Authority
- Section 1128b4 · permissive · until licence restored
- Excluded
- 2010-08-19
- Recorded as
- Dentist
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 1022 Liberty Ln
Pueblo, CO 81001 - Phone
- (719) 545-5778
- Organisation at this address
- Braces4kids, Pllc
Family & Kids Dental Pc
Derose Children'S Dental Clinic, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- General Practice Dentistry
General Practice Dentistry
General Practice Dentistry
General Practice Dentistry - Licence states on file
- CO, IN, OK, NM, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado