Individual provider Active NPI

Nicholas Mills Sigman, DMD

  • Dentist
  • Superior, CO
National Provider Identifier
1003162223
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10770 Issued in CO
Practice address
306 Center Dr
Superior, CO 80027-8625
Phone
(303) 499-9555
NPI assigned
Jul 25, 2012
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10770 CO Primary

Addresses

Primary practice location

306 Center Dr
Superior, CO 80027-8625

Mailing address

650 Walden Cir
Boulder, CO 80305-7601

Other identifiers 1

IdentifierTypeStateIssuer
12-195-0213OtherCOCOLORADO DRIVER LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930000094 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789992488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10770COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marketplace Dental Group and Orthodontics, LLP Past Accepting new patients

Networks

  • CO HMO D-SNP
  • NM HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1003162223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WALDEN CIR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803057601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CENTER DR",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278625",
            "telephone_number": "303-499-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMAN",
        "first_name": "NICHOLAS",
        "middle_name": "MILLS",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DRIVER LICENSE",
            "identifier": "12-195-0213",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, CO

Sources for this page

Verify at the official NPI Registry.