Active NPI
Martha Pinto Bridgewater, D.D.S.
- Periodontics
- Denver, CO
National Provider Identifier
1457384901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 7150
- Practice address
- 121 S Madison St
Suite C
Denver, CO 80209-3031 - Phone
- (303) 320-3601
- Fax
- (303) 399-5598
- NPI assigned
- Jul 8, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 7150 | CO | Primary |
Addresses
Primary practice location
121 S Madison St
Suite C
Denver, CO 80209-3031
Mailing address
121 S Madison St
Suite C
Denver, CO 80209-3031
Phone (303) 320-3601
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 972231 | Other | CO | UNITED CONCORDIA |
| 149580 | Other | CO | CIGNA DHMO |
| 5861329 | Other | CO | AETNA |
| 11878 | Other | CO | PACIFICARE |
| 36267 | Other | CO | UNITED DENTAL CARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7150 | CO | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457384901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S MADISON ST",
"address_2": "SUITE C",
"city": "DENVER",
"state": "CO",
"postal_code": "802093031",
"telephone_number": "303-320-3601",
"fax_number": "303-399-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 S MADISON ST",
"address_2": "SUITE C",
"city": "DENVER",
"state": "CO",
"postal_code": "802093031",
"telephone_number": "303-320-3601",
"fax_number": "303-399-5598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGEWATER",
"first_name": "MARTHA",
"middle_name": "PINTO",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CO",
"license": "7150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "972231",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA DHMO",
"identifier": "149580",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5861329",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "11878",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED DENTAL CARE",
"identifier": "36267",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.