Individual provider Active NPI

Anthony J Digregorio, DDS

  • General Practice Dentistry
  • Riverdale, MD
National Provider Identifier
1952482739
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8222 Issued in MD
Practice address
6200 Baltimore Ave
Suite 200
Riverdale, MD 20737-1054
Phone
(301) 864-5200
Fax
(301) 864-5759
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8222 MD Primary

Addresses

Primary practice location

6200 Baltimore Ave
Suite 200
Riverdale, MD 20737-1054

Mailing address

6200 Baltimore Ave
Suite 200
Riverdale, MD 20737-1054
Phone (301) 864-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20160601001174 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183914344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8222MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
McClure, Blumenfeld, Digregorio, Sease, P.a., T/a the Dental Group 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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952482739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BALTIMORE AVE",
            "address_2": "SUITE 200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371054",
            "telephone_number": "301-864-5200",
            "fax_number": "301-864-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BALTIMORE AVE",
            "address_2": "SUITE 200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371054",
            "telephone_number": "301-864-5200",
            "fax_number": "301-864-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGREGORIO",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

Verify at the official NPI Registry.