Active NPI
Dolores Tiongco MD PC
- Clinical Child & Adolescent Psychologist
- Grand Junction, CO
National Provider Identifier
1528099280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 38987
- Legal business name
- DOLORES TIONGCO MD PC
- Practice address
- 2345 N 7TH St
Grand Junction, CO 81501-8117 - Phone
- (970) 256-0066
- Fax
- (970) 256-7723
- NPI assigned
- Jul 5, 2006
- 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. Dolores Tiongco, MD
- Title
- Owner
- Phone
- (970) 256-0066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 38987 | CO | Primary |
Addresses
Primary practice location
2345 N 7TH St
Grand Junction, CO 81501-8117
Mailing address
2345 N 7TH St
Grand Junction, CO 81501-8117
Phone (970) 256-0066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12073822 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
541 Hoover Dr
Grand Junction, CO 81504
Phone (970) 256-0066
2345 N 7th St
Grand Junction, CO 81501
Phone (970) 241-8782
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Grand Junction, CO
- NPI 1821082546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196553600000",
"number": "1528099280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018117",
"telephone_number": "970-256-0066",
"fax_number": "970-256-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 N 7TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018117",
"telephone_number": "970-256-0066",
"fax_number": "970-256-7723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLORES TIONGCO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2007-12-02",
"status": "A",
"authorized_official_last_name": "TIONGCO",
"authorized_official_first_name": "DOLORES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-256-0066",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CO",
"license": "38987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12073822",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.