Hassan M Taha, NONMEDICAL TRANSPORT

Primary specialty

DriverTaxonomy code 172A00000X

License

040120830 Issued in CO

Practice address

2570 S Dayton Way
Denver, CO 80231-3944

Phone

(720) 243-9277

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hassan M Taha Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1003446469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 S DAYTON WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313944",
            "telephone_number": "720-243-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 S DAYTON WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802313944",
            "telephone_number": "720-243-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "HASSAN",
        "middle_name": "M",
        "credential": "NONMEDICAL TRANSPORT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "CO",
            "license": "040120830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONMEDICAL TRANSPORTATION",
            "identifier": "20141315309",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASSAN",
            "last_name": "TAHA",
            "middle_name": "M",
            "credential": "LAKE SIDE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancy J Taft, MD
• Bonnie S Taggart, LPC, LAC
• Lisa Taggart, LPC
• Rodney R Tague, P.T.
• Andy Taha
• Ibrahim Taha
• Joanna K Tai, PHARM D
• Trinity Taiwo, RBT
• Natalee Takasumi, PT, DPT, DVM
• Sinzobakwira Takiath

• Driver in Denver, CO
• Providers in Denver, CO by specialty
• Driver in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.