Organization Active NPI

Odable

  • Private Vehicle
  • Colorado SPGS, CO
National Provider Identifier
1043005028
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
ODABLE
Practice address
10579 Domeykite VW
Colorado SPGS, CO 80908-4539
Phone
(719) 505-9155
NPI assigned
Apr 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Gugsa Bacha Gemeda
Title
Managing Member
Phone
(510) 576-9176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

10579 Domeykite VW
Colorado SPGS, CO 80908-4539

Mailing address

10579 Domeykite VW
Colorado SPGS, CO 80908-4539
Phone (719) 505-9155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1043005028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10579 DOMEYKITE VW",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809084539",
            "telephone_number": "719-505-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10579 DOMEYKITE VW",
            "city": "COLORADO SPGS",
            "state": "CO",
            "postal_code": "809084539",
            "telephone_number": "719-505-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODABLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "GEMEDA",
        "authorized_official_first_name": "GUGSA",
        "authorized_official_middle_name": "BACHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "510-576-9176"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado SPGS, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.