Active NPI
Raymond David Baros, D.D.S.
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1194829697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 104299
- Practice address
- 513 Kiva Rd
Colorado Springs, CO 80911-1913 - Phone
- (719) 392-5300
- Fax
- (719) 392-1093
- NPI assigned
- Sep 13, 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 | 104299 | CO | Primary |
Addresses
Primary practice location
513 Kiva Rd
Colorado Springs, CO 80911-1913
Mailing address
513 Kiva Rd
Colorado Springs, CO 80911-1913
Phone (719) 392-5300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 793766 | Other | CO | UNITED CONCORDIA |
| 71215 | Other | CO | BLUE CROSS/BLUE SHIELD |
| 131423 | Medicaid | CO | |
| 104299 | Other | CO | DELTA DENTAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104299 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194829697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 KIVA RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111913",
"telephone_number": "719-392-5300",
"fax_number": "719-392-1093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 KIVA RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809111913",
"telephone_number": "719-392-5300",
"fax_number": "719-392-1093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAROS",
"first_name": "RAYMOND",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "104299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "793766",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "71215",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131423",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "104299",
"state": "CO"
}
],
"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 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.