Gina Dattoli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CDRH.0050774 Issued in CO

Practice address

1100 Johnson Rd Ste 16672
Golden, CO 80401-6021

Phone

(303) 381-0807

NPI assigned

Jul 9, 2010

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1184936858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON RD STE 16672",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016021",
            "telephone_number": "303-381-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON RD STE 16672",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016021",
            "telephone_number": "303-381-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTOLI",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDRH.0050774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn M Dananay, NP-C
• Jason Dandino, ATC, LAT
• Clifton A Daniels, M D
• Tayler Mae Daniels, DPT
• Anastasia Alyse Darragh
• Maire C Daugharty, MD
• Abigail Daurio, MA, CCC-SLP
• David D. Beacom, DDS
• David Ellis, LPC, LLC
• Marta Davidson, REGISTERED NURSE

• Family Medicine Physician in Golden, CO
• Providers in Golden, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.