Alan B. Ridgway

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

H-D-104700 Issued in CO

Practice address

Box 1448
223 Minnesota Ave.
Paonia, CO 81428

Phone

(970) 527-3757

Fax

(970) 527-4029

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528088804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1448",
            "address_2": "223 MINNESOTA AVE.",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "814281448",
            "telephone_number": "970-527-3757",
            "fax_number": "970-527-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 1448",
            "address_2": "223 MINNESOTA AVE.",
            "city": "PAONIA",
            "state": "CO",
            "postal_code": "81428",
            "telephone_number": "970-527-3757",
            "fax_number": "970-527-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGWAY",
        "first_name": "ALAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "H-D-104700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela R Petersen, AUD
• Marian Pierce
• Amy Leigh Porter
• Mary Elizabeth Prigmore
• Jennifer Ramsey
• Chris Rogers
• Mariah Rossel
• Dianne Elizabeth Schevene
• Amy Smeester
• Jana Robyn Stone

• All providers in Paonia, CO
• General Practice Dentistry in Colorado

• 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.

Verify at the official NPI Registry.