SIXTO GARDUNO COGOLLOR DMD
NPI 1245699974
Dentist - General Practice in Dallas, TX

Active since February 23, 2016PECOS Enrolled

NPPES record last updated: February 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 26, 2023, Feb 2, 2020, Jun 22, 2016 and 1 more (4 updates tracked since 2016).

About Sixto Garduno Cogollor Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIXTO GARDUNO COGOLLOR DMD (NPI 1245699974) is an individual general practice provider in Dallas, Texas, licensed in Texas (35594) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245699974
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSIXTO GARDUNO COGOLLORCredential: DMD
Location Address820 ANN AVEDallas, TX 75223-2716
Mailing Address2824 Chesterfield LnVenus, TX 76084-3661 · (787) 236-8565
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 23, 2016
Last NPPES UpdateFebruary 26, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2023
NPI 1245699974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 35594 Licensed in PA · DS040878
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
820 ANN AVE, Dallas, TX 75223

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sixto Garduno Cogollor Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799159448
PECOS Enrollment IDI20260527003510
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
820 ANN AVE
DALLAS, TX 75223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sixto Garduno Cogollor's NPI number?

The NPI number for Sixto Garduno Cogollor is 1245699974. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Where is Sixto Garduno Cogollor located?

Sixto Garduno Cogollor practices at 820 Ann Ave, Dallas, TX 75223. The listed phone number is (214) 590-8000.

What is Sixto Garduno Cogollor's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sixto Garduno Cogollor enrolled in Medicare?

Yes. Sixto Garduno Cogollor is registered in the Medicare PECOS enrollment system.

What insurance does Sixto Garduno Cogollor accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental PPO and Humana list Sixto Garduno Cogollor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sixto Garduno Cogollor was last updated on February 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.