Individual provider Active NPI

Barbro Anna Pilch, D.D.S.

  • Dentist
  • Basalt, CO
National Provider Identifier
1831118082
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8551 Issued in CO
Practice address
227 Midland Ave
C3
Basalt, CO 81621-8114
Phone
(970) 927-5437
Fax
(970) 927-0868
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8551 CO Primary

Addresses

Primary practice location

227 Midland Ave
C3
Basalt, CO 81621-8114

Mailing address

227 Midland Ave
C3
Basalt, CO 81621-8114
Phone (970) 927-5437

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
I20150626001175 CO Order and Referring Only - DentistPractitioner - Dentist 4082926498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8551COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Basalt Dentistry, PC Past 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831118082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MIDLAND AVE",
            "address_2": "C3",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218114",
            "telephone_number": "970-927-5437",
            "fax_number": "970-927-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MIDLAND AVE",
            "address_2": "C3",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218114",
            "telephone_number": "970-927-5437",
            "fax_number": "970-927-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILCH",
        "first_name": "BARBRO",
        "middle_name": "ANNA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.