Thomas Losacco, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105584 Issued in CO

Practice address

801 6TH St
Georgetown, CO 80444-1022

Phone

(303) 569-3141

Fax

(303) 569-3041

NPI assigned

Jan 25, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aaa Family Dental Center III PC

  • Dentist
  • Georgetown, CO
  • NPI 1376733501

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1356496418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "GEORGETOWN",
            "state": "CO",
            "postal_code": "804441022",
            "telephone_number": "303-569-3141",
            "fax_number": "303-569-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 6TH ST",
            "city": "GEORGETOWN",
            "state": "CO",
            "postal_code": "804441022",
            "telephone_number": "303-569-3141",
            "fax_number": "303-569-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSACCO",
        "first_name": "THOMAS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02055846",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Halbe, LPC
• Eric Co Harbour, ATC
• Lauren Ann Hess, L.M.T.
• Inner Compass Counseling, PLLC
• Jefferson Center for Mental Health
• Katrina Marquardt, BSN, RN
• Serenity for Life LLC
• Hannah Smith
• Angela Lynn Zimmerman, PMHNP

• General Practice Dentistry in Georgetown, CO
• Providers in Georgetown, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.