Individual provider Active NPI

Georgann Louise Apgar, DMD

  • Periodontics
  • Thornton, CO
National Provider Identifier
1710109087
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DEN.00009595 Issued in CO
Practice address
951 E. 120TH Ave
Thornton, CO 80233
Phone
(303) 305-4466
Fax
(301) 657-3400
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DEN.00009595 CO Primary

Addresses

Primary practice location

951 E. 120TH Ave
Thornton, CO 80233

Mailing address

31891 Black Widow Dr
Conifer, CO 80433-9622
Phone (301) 641-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303000547 CO Order and Referring Only - DentistPractitioner - Dentist 9335445204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1710109087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31891 BLACK WIDOW DR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804339622",
            "telephone_number": "301-641-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E. 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-305-4466",
            "fax_number": "301-657-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APGAR",
        "first_name": "GEORGANN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "DEN.00009595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.