Active NPI
Christopher Boyle
- Home Modifications Contractor
- Centennial, CO
National Provider Identifier
1083080204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 47-3947671
- Practice address
- 7302 S Alton Way
Ste D
Centennial, CO 80112-2313 - Phone
- (303) 459-6990
- NPI assigned
- Aug 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 47-3947671 | CO | Primary |
Addresses
Primary practice location
7302 S Alton Way
Ste D
Centennial, CO 80112-2313
Mailing address
7302 S Alton Way
Ste D
Centennial, CO 80112
Phone (303) 459-6990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | CO | WAIVER PROGRAM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Medical Mobility | Past | Accepting new patients | |
| Blue Bear Services LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba 101 Mobility
- Durable Medical Equipment & Medical Supplies
- Centennial, CO
- NPI 1770014482
-
dba 101 Mobility
- Durable Medical Equipment & Medical Supplies
- Castle Rock, CO
- NPI 1174898969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1083080204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7302 S ALTON WAY",
"address_2": "STE D",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "80112",
"telephone_number": "303-459-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7302 S ALTON WAY",
"address_2": "STE D",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801122313",
"telephone_number": "303-459-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "CO",
"license": "47-3947671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WAIVER PROGRAM",
"identifier": "000000000",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.