Active NPI
Aida Luz Ross, DA
- Dental Assistant
- Fort Carson, CO
National Provider Identifier
1811345648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 1667 Cochrane Cir BLDG 7495
Fort Carson, CO 80913-4603 - Phone
- (719) 526-5537
- NPI assigned
- Jun 2, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
1667 Cochrane Cir BLDG 7495
Fort Carson, CO 80913-4603
Mailing address
1667 Cochrane Cir BLDG 7495
Fort Carson, CO 80913-4603
Phone (719) 526-5537
Other practice location 1
1631 Wetzel Ave
Bldg 815
Fort Carson, CO 80913-4095
Phone (719) 526-5537
Other names 1
- Ms. Aida Luz Santiago
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1811345648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1667 COCHRANE CIR BLDG 7495",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134603",
"telephone_number": "719-526-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1667 COCHRANE CIR BLDG 7495",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134603",
"telephone_number": "719-526-5537"
}
],
"practiceLocations": [
{
"address_1": "1631 Wetzel Ave",
"address_2": "Bldg 815",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134095",
"country_code": "US",
"telephone_number": "719-526-5537",
"fax_number": "719-524-2843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "AIDA",
"middle_name": "LUZ",
"name_prefix": "Ms.",
"credential": "DA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AIDA",
"last_name": "SANTIAGO",
"middle_name": "LUZ",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.