NPI Code Detail JSON Logo

1003141946 NPI number — REGENTS OF THE UNIVERSITY OF COLORADO ON BEHALF OF UNIV OF CO DENVER

NPI Number: 1003141946
Health Care Provider/Practitioner: REGENTS OF THE UNIVERSITY OF COLORADO ON BEHALF OF UNIV OF CO DENVER

Information about “1003141946” NPI (REGENTS OF THE UNIVERSITY OF COLORADO ON BEHALF OF UNIV OF CO DENVER) exists in 1003141946 in HTML format HTML  |  1003141946 in plain Text format TXT  |  1003141946 in PDF (Portable Document Format) PDF  |  1003141946 in an XML format XML  formats.

NPI Number : 1003141946 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003141946",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "REGENTS OF THE UNIVERSITY OF COLORADO",
    "ParentOrgTIN": null,
    "OrgName": "REGENTS OF THE UNIVERSITY OF COLORADO ON BEHALF OF UNIV OF CO DENVER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3738 W PRINCETON CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DENVER",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80236-3110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "303-761-6703",
    "MailingAddressFaxNumber": "303-762-2181",
    "FirstLinePracticeLocationAddress": "1827 GAYLORD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80206-1210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-388-5894",
    "PracticeLocationAddressFaxNumber": "303-734-5087",
    "EnumerationDate": "10/09/2009",
    "LastUpdateDate": "05/22/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIXION",
    "AuthorizedOfficialFirstName": "KRISTEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ARTS EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, LPC",
    "AuthorizedOfficialTelephoneNumber": "303-734-5022",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM2800X",
          "TaxonomyName": "Methadone Clinic",
          "LicenseNumber": "109405",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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