Individual provider Active NPI

Anthony A Nigro, DMD

  • General Practice Dentistry
  • Glandorf, OH
National Provider Identifier
1558484154
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.020600 Issued in OH
Practice address
112 Doctor Thatye Drive
Glandorf, OH 45848-0040
Phone
(419) 419-3334
Fax
(419) 419-3433
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.020600 OH Primary

Addresses

Primary practice location

112 Doctor Thatye Drive
Glandorf, OH 45848-0040

Mailing address

PO Box 40
Glandorf, OH 45848-0040
Phone (419) 419-3334

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
30.020600OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony a Nigro DMD & Associates Inc General Practice CurrentSince Mar 11, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1558484154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "458480040",
            "telephone_number": "419-419-3334",
            "fax_number": "419-419-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DOCTOR THATYE DRIVE",
            "city": "GLANDORF",
            "state": "OH",
            "postal_code": "458480040",
            "telephone_number": "419-419-3334",
            "fax_number": "419-419-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGRO",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.020600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glandorf, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.