Active NPI
Bottom Line
- Durable Medical Equipment & Medical Supplies
- Lakewood, CO
National Provider Identifier
1003089541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BOTTOM LINE
- Practice address
- 11949 W Colfax Ave
Lakewood, CO 80215-3715 - Phone
- (720) 382-2425
- NPI assigned
- Apr 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Young
- Title
- Secretary
- Phone
- (720) 382-2425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CO | Primary |
Addresses
Primary practice location
11949 W Colfax Ave
Lakewood, CO 80215-3715
Mailing address
11949 W Colfax Ave
Lakewood, CO 80215-3715
Phone (720) 382-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35801786 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1003089541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11949 W COLFAX AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153715",
"telephone_number": "720-382-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11949 W COLFAX AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153715",
"telephone_number": "720-382-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTTOM LINE",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-04",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "720-382-2425"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35801786",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.