Individual provider Active NPI

Norma Monica Longo, DMD

  • Dentist
  • Colorado Springs, CO
National Provider Identifier
1932261328
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6519 Issued in CO
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

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708001875 CO Order and Referring Only - DentistPractitioner - Dentist 0749572980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6519COMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.