Individual provider Active NPI

Ruxandra Oana-Iulia Georgescu, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1093909855
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-9397 Issued in CO
Practice address
7560 Rangewood Dr Ste 300
Colorado Springs, CO 80920-2100
Phone
(719) 272-9009
Fax
(719) 272-9889
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN-9397 CO
General Practice Dentistry 1223G0001X DEN-9397 CO Primary

Addresses

Primary practice location

7560 Rangewood Dr Ste 300
Colorado Springs, CO 80920-2100

Mailing address

4675 Seton Hall Rd
Colorado Springs, CO 80918-7938
Phone (719) 232-3976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN-9397COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1093909855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 SETON HALL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187938",
            "telephone_number": "719-232-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 RANGEWOOD DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809202100",
            "telephone_number": "719-272-9009",
            "fax_number": "719-272-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESCU",
        "first_name": "RUXANDRA",
        "middle_name": "OANA-IULIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN-9397",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-9397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.