Active NPI
Dr. Thomas Autobee
- Dentist
- Pueblo, CO
National Provider Identifier
1386171056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00104104
- Legal business name
- DR. THOMAS AUTOBEE
- Practice address
- 108 E Pitkin Ave
Pueblo, CO 81004-2110 - Phone
- (719) 543-8940
- Fax
- (719) 543-9926
- NPI assigned
- May 12, 2017
- Last updated
- May 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Autobee, DDS
- Title
- Dentist
- Phone
- (719) 543-8940
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00104104 | CO | Primary |
Addresses
Primary practice location
108 E Pitkin Ave
Pueblo, CO 81004-2110
Mailing address
108 E Pitkin Ave
Pueblo, CO 81004-2110
Phone (719) 543-8940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02041044 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
108 E Pitkin Ave
Pueblo, CO 81004
Phone (719) 543-8940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Pueblo, CO
- NPI 1770683500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1386171056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E PITKIN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042110",
"telephone_number": "719-543-8940",
"fax_number": "719-543-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E PITKIN AVE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810042110",
"telephone_number": "719-543-8940",
"fax_number": "719-543-9926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. THOMAS AUTOBEE",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "AUTOBEE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "719-543-8940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00104104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02041044",
"state": "CO"
}
],
"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 May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.