NPIMap

Organization Active NPI

Medidash LLC

  • Durable Medical Equipment & Medical Supplies
  • Brighton, CO
National Provider Identifier
1073458931
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDIDASH LLC
Practice address
2103 Peregrine Dr Unit 130
Brighton, CO 80601-7422
Phone
(720) 989-3074
NPI assigned
Apr 20, 2026
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Gabriel Mora
Title
Owner
Phone
(720) 989-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2103 Peregrine Dr Unit 130
Brighton, CO 80601-7422

Mailing address

2103 Peregrine Dr Unit 130
Brighton, CO 80601-7422

National Provider Directory

National Provider Directory
Tax ID family
Medidash LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1073458931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 PEREGRINE DR UNIT 130",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 PEREGRINE DR UNIT 130",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806017422",
            "telephone_number": "720-989-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIDASH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-989-3074"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.