Provider Demographics
NPI:1699156851
Name:DASSINGER, TONY
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:
Last Name:DASSINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7505 DAHLIA ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-1463
Mailing Address - Country:US
Mailing Address - Phone:303-362-1180
Mailing Address - Fax:720-420-0094
Practice Address - Street 1:7505 DAHLIA ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1463
Practice Address - Country:US
Practice Address - Phone:303-362-1180
Practice Address - Fax:720-420-0094
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-13
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59875810Medicaid