Active NPI
Nicholas Demeo, D.M.D.
- Pediatric Dentistry
- Colorado Springs, CO
National Provider Identifier
1609503655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00205490
- Practice address
- 9480 Briar Village PT Ste 301
Colorado Springs, CO 80920-7923 - Phone
- (719) 522-0123
- NPI assigned
- Aug 1, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN.00205490 | CO | Primary |
Addresses
Primary practice location
9480 Briar Village PT Ste 301
Colorado Springs, CO 80920-7923
Mailing address
3235 Larimer St Unit 326
Denver, CO 80205-4375
Phone (774) 392-5347
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ndemeo@cspdentist.com | Direct |
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 |
|---|---|---|---|
| DEN.00205490 | CO | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- ndemeo235908@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1609503655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3235 LARIMER ST UNIT 326",
"city": "DENVER",
"state": "CO",
"postal_code": "802054375",
"telephone_number": "774-392-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 BRIAR VILLAGE PT STE 301",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207923",
"telephone_number": "719-522-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMEO",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-01",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CO",
"license": "DEN.00205490",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ndemeo@cspdentist.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9480 Briar Village Pt Ste 301",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809207923",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.