Individual provider Active NPI

Dolores D Tiongco, MD

  • Psychiatry Physician
  • Grand Junction, CO
National Provider Identifier
1821082546
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38987 Issued in CO
Practice address
541 Hoover Dr
Grand Junction, CO 81504-5700
Phone
(970) 256-0066
NPI assigned
Sep 8, 2005
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 38987 CO Primary

Addresses

Primary practice location

541 Hoover Dr
Grand Junction, CO 81504-5700

Mailing address

541 Hoover Dr
Grand Junction, CO 81504-5700
Phone (970) 256-0066

Other identifiers 1

IdentifierTypeStateIssuer
24289345MedicaidCO

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000203 CO Practitioner - Psychiatry 2466462460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

541 Hoover Dr
Grand Junction, CO 81504-5700
Phone (970) 256-0066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dolores Tiongco MD PC CurrentSince Jul 1, 2006 Accepting new patients
Grand River Psychiatry PLLC PastSince Jun 1, 2006 Accepting new patients

Locations

541 Hoover Dr
Grand Junction, CO 81504
Phone (970) 256-0066

Organizations & group practices 2

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1821082546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 HOOVER DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045700",
            "telephone_number": "970-256-0066",
            "fax_number": "970-712-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HOOVER DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815045700",
            "telephone_number": "970-256-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIONGCO",
        "first_name": "DOLORES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "38987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24289345",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.