Individual provider Active NPI

Maria Juliana Celaro Dipasquale, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
National Provider Identifier
1275692634
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10148 Issued in CO
Practice address
4500 E Cherry Creek South Dr
Denver, CO 80246-1518
Phone
(303) 321-0333
Fax
(303) 393-0617
NPI assigned
Dec 8, 2006
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN17128 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10148 CO Primary

Addresses

Primary practice location

4500 E Cherry Creek South Dr
Denver, CO 80246-1518

Mailing address

4500 E Cherry Creek South Dr
Denver, CO 80246-1518
Phone (303) 321-0333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000759 CO Practitioner - Oral Surgery 8426292178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Nova Southeastern Univ College of Dental Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trauma and Emergency Subspecialty Surgeons PLLCGroup PAC ID 1951559293, 27 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

1501 S Potomac St
Aurora, CO 80012-5411
Phone (303) 695-2600

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN17128FLMDOral and Maxillofacial Surgery (Dentist)
10148COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma and Emergency Subspecialty Surgeons PLLC Oral and Maxillofacial Surgery CurrentSince Sep 1, 2013 Accepting new patients

Locations

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1275692634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461518",
            "telephone_number": "303-321-0333",
            "fax_number": "303-393-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461518",
            "telephone_number": "303-321-0333",
            "fax_number": "303-393-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPASQUALE",
        "first_name": "MARIA JULIANA",
        "middle_name": "CELARO",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17128",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "10148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.