Individual provider Active NPI

Anthony F. Girardi, D.D.S.

  • Endodontics
  • Fort Collins, CO
National Provider Identifier
1164610408
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
105172 Issued in CO
Practice address
1331 E Prospect Rd Unit B1
Fort Collins, CO 80525-1367
Phone
(970) 232-3750
Fax
(970) 232-3751
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 105172 CO Primary

Addresses

Primary practice location

1331 E Prospect Rd Unit B1
Fort Collins, CO 80525-1367

Mailing address

1331 E. Prospect Road., Unit B-1
Fort Collins, CO 80525
Phone (970) 232-3750

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
105172COMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1164610408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E. PROSPECT ROAD., UNIT B-1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80525",
            "telephone_number": "970-232-3750",
            "fax_number": "970-232-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E PROSPECT RD UNIT B1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251367",
            "telephone_number": "970-232-3750",
            "fax_number": "970-232-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARDI",
        "first_name": "ANTHONY",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "105172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.