Individual provider Active NPI

Anthony D'Angelo Jr., DO

  • Orthopaedic Surgery Physician
  • Davenport, IA
National Provider Identifier
1427010651
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01952 Issued in IA
Practice address
3906 Lillie Ave
Suite 7 8
Davenport, IA 52806-4400
Phone
(563) 386-9124
Fax
(563) 445-0486
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01952 IA Primary

Addresses

Primary practice location

3906 Lillie Ave
Suite 7 8
Davenport, IA 52806-4400

Mailing address

3906 Lillie Ave
Suite 7 8
Davenport, IA 52806-4400
Phone (563) 386-9124

Other identifiers 2

IdentifierTypeStateIssuer
41644OtherIABLUE CROSS BLUE SHIELD
1197749MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
01952IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Genortho, LLC Past Accepting new patients
Anesthesia & Analgesia PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427010651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 LILLIE AVE",
            "address_2": "SUITE 7 8",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064400",
            "telephone_number": "563-386-9124",
            "fax_number": "563-445-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 LILLIE AVE",
            "address_2": "SUITE 7 8",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528064400",
            "telephone_number": "563-386-9124",
            "fax_number": "563-445-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "01952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41644",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1197749",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.