Active NPI
John A Santoro, MD
- Ophthalmology Physician
- Northglenn, CO
National Provider Identifier
1174534762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20824
- Practice address
- 10465 Melody Dr
Ste 111
Northglenn, CO 80234-4119 - Phone
- (303) 252-9981
- Fax
- (303) 252-7306
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20824 | CO | Primary |
Addresses
Primary practice location
10465 Melody Dr
Ste 111
Northglenn, CO 80234-4119
Mailing address
10465 Melody Dr
Ste 111
Northglenn, CO 80234-4119
Phone (303) 252-9981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 921666 | Other | SECURE HORIZONS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20824 | CO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174534762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10465 MELODY DR",
"address_2": "STE 111",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344119",
"telephone_number": "303-252-9981",
"fax_number": "303-252-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10465 MELODY DR",
"address_2": "STE 111",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802344119",
"telephone_number": "303-252-9981",
"fax_number": "303-252-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORO",
"first_name": "JOHN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "20824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "921666",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.