Nathan James Carillo, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DEN.00204375 Issued in CO

Practice address

357 McCaslin Blvd Ste 200
Louisville, CO 80027-2932

Phone

(970) 699-8954

NPI assigned

May 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Dental Anesthesia PLLC

  • Dental Anesthesiology
  • Louisville, CO
  • NPI 1821684713
  NPD Authorized official

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1841647294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272932",
            "telephone_number": "970-699-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MCCASLIN BLVD STE 200",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272932",
            "telephone_number": "970-699-8954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Parkway South",
            "address_2": "Jacobi Medical Center",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10461",
            "country_code": "US",
            "telephone_number": "718-918-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARILLO",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "DEN.00204375",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Cappel, LMFT
• Damen Matthew Caraway, D.D.S, M.S.D.
• Carepoint Inpatient Blue Sky Neurology PLLC
• Carepoint Outpatient Blue Sky Neurology PLLC
• Dana Lynn Carey, M.S., L.AC, FABORM
• Jill C Carnahan, M.D.
• Chesni Rae Carter, M.S. SLP-CF
• Lesley Casillas, COTA,L
• Megan Anders Cates, AU.D.
• Cheryl Cavanaugh, MD

• Dental Anesthesiology in Louisville, CO
• Providers in Louisville, CO by specialty
• Dental Anesthesiology in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.