NPIMap

Organization Active NPI

Alexandra Theriault, MD, PC

  • Dermatology Physician
  • Littleton, CO
National Provider Identifier
1043382401
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ALEXANDRA THERIAULT, MD, PC
Practice address
1420 W Canal CT
#50
Littleton, CO 80120-5655
Phone
(303) 795-2030
Fax
(303) 795-2153
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Mrs. Alexandra Therioult, MD
Title
Owner/Officer
Phone
(303) 795-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1420 W Canal CT
#50
Littleton, CO 80120-5655

Mailing address

1420 W Canal CT
#50
Littleton, CO 80120-5655
Phone (303) 795-2030

Other names 1

  • APEX DERMATOLOGY GROUP PC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7720 S Broadway
Ste 520
Littleton, CO 80122
Phone (303) 789-3884

1420 W Canal Ct
Ste 50
Littleton, CO 80120
Phone (303) 795-2030

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1043382401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "#50",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205655",
            "telephone_number": "303-795-2030",
            "fax_number": "303-795-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W CANAL CT",
            "address_2": "#50",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205655",
            "telephone_number": "303-795-2030",
            "fax_number": "303-795-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA THERIAULT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "THERIOULT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "303-795-2030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APEX DERMATOLOGY GROUP PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.