Robert Malcolm Igo, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7181 Issued in CO

Practice address

1304 N Academy Boulevard
Suite 205
Colorado Springs, CO 80909-3318

Phone

(719) 596-8440

Fax

(719) 572-8934

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952447724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BOULEVARD",
            "address_2": "SUITE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-596-8440",
            "fax_number": "719-572-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N ACADEMY BOULEVARD",
            "address_2": "SUITE 205",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093318",
            "telephone_number": "719-596-8440",
            "fax_number": "719-572-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGO",
        "first_name": "ROBERT",
        "middle_name": "MALCOLM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "7181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28251857",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margareth (Ashley) Ignacio, PTA
• Ignited Soul Integrated Therapies
• Ignition Psychiatry PLLC
• Elesa L Ignowski
• Beverly Jean Igo, M.DIV,, M.A.
• Kelly Rae McCarthy Ihme, BSN-BC, MA
• Ikaikamind&Body
• Morgan Ilaria, BCBA
• Raliza Ilieva, PHARM. D.
• Cassie Iliff

• Oral and Maxillofacial Surgery (Dentist) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.