Active NPI
Ted Lindon Rigby, D.D.S.
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1861473092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8692
- Practice address
- 2190 Academy Cir
Colorado Springs, CO 80909-1659 - Phone
- (719) 596-3939
- NPI assigned
- Nov 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8692 | CO | Primary |
| General Practice Dentistry | 1223G0001X | 6501820-9923 | UT | |
| General Practice Dentistry | 1223G0001X | D-4113 | ID |
Addresses
Primary practice location
2190 Academy Cir
Colorado Springs, CO 80909-1659
Mailing address
2190 Academy Cir
Colorado Springs, CO 80909-1659
Phone (719) 596-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67682731 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150323000188 | CO | Order and Referring Only - Oral Surgery | 7315264835 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8692 | CO | MD | General Practice Dentistry |
| D-4113 | ID | MD | General Practice Dentistry |
| 6501820-9923 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rigby Dental, P.C. | General Practice | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1265892319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1861473092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 ACADEMY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091659",
"telephone_number": "719-596-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 ACADEMY CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091659",
"telephone_number": "719-596-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGBY",
"first_name": "TED",
"middle_name": "LINDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-05",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "8692",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "6501820-9923",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-4113",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67682731",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.