Individual provider Active NPI

Robert M. Digiorgio, DDS

  • General Practice Dentistry
  • Parker, CO
National Provider Identifier
1730204074
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
H-D-1-04667 Issued in CO
Practice address
11027 S Pikes Peak Dr
Ste 105
Parker, CO 80138-7356
Phone
(303) 699-6100
Fax
(303) 617-1363
NPI assigned
Mar 19, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 H-D-1-04667 CO Primary

Addresses

Primary practice location

11027 S Pikes Peak Dr
Ste 105
Parker, CO 80138-7356

Mailing address

11027 S Pikes Peak Dr
Ste 105
Parker, CO 80138-7356
Phone (303) 699-6100

Other identifiers 1

IdentifierTypeStateIssuer
H-D-1-04667OtherCOLISENCE TO PRACTICE DENTI

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
I20160412001695 CO Order and Referring Only - DentistPractitioner - Dentist 0840598678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
H-D-1-04667COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Av8R & NP PLLC PastSince Feb 16, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730204074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11027 S PIKES PEAK DR",
            "address_2": "STE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387356",
            "telephone_number": "303-699-6100",
            "fax_number": "303-617-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11027 S PIKES PEAK DR",
            "address_2": "STE 105",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387356",
            "telephone_number": "303-699-6100",
            "fax_number": "303-617-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIORGIO",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "H-D-1-04667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISENCE TO PRACTICE DENTI",
            "identifier": "H-D-1-04667",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.