Active NPI
Norma Monica Longo, DMD
- Dentist
- Colorado Springs, CO
National Provider Identifier
1932261328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6519
- Practice address
- 15435 Gleneagle Dr
Colorado Springs, CO 80921 - Phone
- (719) 481-6788
- Fax
- (719) 488-6585
- NPI assigned
- Dec 14, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6519 | CO | Primary |
Addresses
Primary practice location
15435 Gleneagle Dr
Colorado Springs, CO 80921
Mailing address
8842 Alpine Valley Dr
Colorado Springs, CO 80920-7313
Phone (719) 282-1609
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 |
|---|---|---|---|---|
| I20160708001875 | CO | Order and Referring Only - Dentist | 0749572980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6519 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norma M Longo DMD 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Colorado Springs, CO
- NPI 1699941716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1932261328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8842 ALPINE VALLEY DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207313",
"telephone_number": "719-282-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15435 GLENEAGLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80921",
"telephone_number": "719-481-6788",
"fax_number": "719-488-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "NORMA",
"middle_name": "MONICA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "6519",
"primary": true
}
],
"identifiers": [],
"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 Mar 13, 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.