Michael Anthony Derose

Overview

Entity Type: Individual Healthcare Provider
NPI: 1033185871
Primary Specialty: Dentist — General Practice
Practice Location: Pueblo, Colorado
Sole Proprietor: No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

Potential match — review required

1 potential match identified in List of Excluded Individuals/Entities (LEIE). Review required.

Source data: September 10, 2026
Records indexed: 84,001
Screened: Sep 18, 2026, 8:59 PM UTC

NPI match

Why NPISignal flagged this

The NPI on both records is identical

The exclusion record carries the same NPI. This is the strongest signal available in the public data, and still warrants confirmation with the source before any action is taken.

The source record

Name on the exclusion record: MICHAEL ANTHONY DEROSE
NPI on the exclusion record: 1033185871
General category: DENTAL PRACTICE
Specialty: DENTIST
Exclusion type: 1128b4
Exclusion date: August 19, 2010
Excluding agency: HHS Office of Inspector General
Location on record: PUEBLO, CO, 81007
Date of birth on record: Held by the source, not shown

Confirm this record directly with the HHS-OIG exclusions database before acting on it. NPISignal matches on public identity fields and cannot verify identity using a Social Security number or employer identification number — only the issuing agency can.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened: Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

Dentist
General Practice
Dental Providers
Primary
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Taxonomy code 1223G0001X

Provider-Reported License Information

Dentist (Colorado): DEN-5133
Dentist (Indiana): 12010424A
Dentist (Oklahoma): 5643
Dentist (New Mexico): DD2030
Dentist (Kansas): 60184

License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1022 Liberty Ln

Pueblo, Colorado 81001-2039

Phone: (719) 545-5778

Record Information

Enumeration Date: February 23, 2006
Provider's NPPES Record Last Updated: July 13, 2026
NPISignal NPPES Dataset: August 2026

Same specialty and location, currently active.

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Incorrect provider information

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