Organization Active NPI

Altitude Dialysis Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Denver, CO
National Provider Identifier
1043859507
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
ALTITUDE DIALYSIS INC.
Practice address
1209 Monroe Street
Denver, CO 80206-3445
Phone
(970) 445-8265
Fax
(970) 445-8265
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Mr. Bradd Williams
Title
President
Phone
(970) 445-8265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1209 Monroe Street
Denver, CO 80206-3445

Mailing address

1209 Monroe Street
Denver, CO 80206-3445
Phone (970) 445-8265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1043859507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MONROE STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063445",
            "telephone_number": "970-445-8265",
            "fax_number": "970-445-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MONROE STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063445",
            "telephone_number": "970-445-8265",
            "fax_number": "970-445-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE DIALYSIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-445-8265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.