Individual provider Active NPI

Cameron Lloyd Perigo, D.D.S.

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1427236058
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9746 Issued in CO
Practice address
8580 Scarborough Dr Ste 105
Colorado Springs, CO 80920-7583
Phone
(719) 528-5577
Fax
(719) 528-5621
NPI assigned
Feb 6, 2008
Last updated
Feb 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9746 CO Primary
Dentist 122300000X 2774648-9921 UT
General Practice Dentistry 1223G0001X D-4265 ID

Addresses

Primary practice location

8580 Scarborough Dr Ste 105
Colorado Springs, CO 80920-7583

Mailing address

8580 Scarborough Dr Ste 105
Colorado Springs, CO 80920-7583
Phone (719) 528-5577

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

LicenseStateTypeSpecialty
9746COMDDentist
2774648-9921UTMDDentist
D-4265IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Esthetic Family Dentistry, LLC General Practice Past Accepting new patients

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1427236058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-528-5577",
            "fax_number": "719-528-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8580 SCARBOROUGH DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207583",
            "telephone_number": "719-528-5577",
            "fax_number": "719-528-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIGO",
        "first_name": "CAMERON",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9746",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "2774648-9921",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4265",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.