Individual provider Active NPI

Nelly Barreto, DMD

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1023019841
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8014 Issued in CO
Practice address
5929 Constitution Ave
Colorado Springs, CO 80915-1211
Phone
(719) 638-1986
Fax
(719) 638-7532
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8014 CO Primary

Addresses

Primary practice location

5929 Constitution Ave
Colorado Springs, CO 80915-1211

Mailing address

5929 Constitution Ave
Colorado Springs, CO 80915-1211
Phone (719) 638-1986

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
I20151005000730 CO Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9830407295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8014COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Teeth - Powers P.C. General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023019841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 CONSTITUTION AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151211",
            "telephone_number": "719-638-1986",
            "fax_number": "719-638-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 CONSTITUTION AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809151211",
            "telephone_number": "719-638-1986",
            "fax_number": "719-638-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETO",
        "first_name": "NELLY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.