Active NPI
E James Belfiglio, D.M.D.
- General Practice Dentistry
- Pueblo, CO
National Provider Identifier
1194806091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7642
- Practice address
- 2030 Lake Ave
Pueblo, CO 81004-3536 - Phone
- (719) 564-4823
- Fax
- (719) 564-4858
- NPI assigned
- Oct 18, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7642 | CO | Primary |
Addresses
Primary practice location
2030 Lake Ave
Pueblo, CO 81004-3536
Mailing address
110 E Routt Ave
Pueblo, CO 81004-2117
Phone (719) 543-8711
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609001221 | CO | Order and Referring Only - Other (Physician) | 3870883408 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7642 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pueblo Community Health Center Inc | Past | Accepting new patients | |
| Pueblo Community Health Center Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1952071219
-
- Federally Qualified Health Center (FQHC)
- Pueblo, CO
- NPI 1245275932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1194806091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E ROUTT AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042117",
"telephone_number": "719-543-8711",
"fax_number": "719-543-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 LAKE AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043536",
"telephone_number": "719-564-4823",
"fax_number": "719-564-4858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELFIGLIO",
"first_name": "E",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "7642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.