Active NPI
Cory Luebben
- Non-emergency Medical Transport (VAN)
- Englewood, CO
National Provider Identifier
1093386922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 3780 S Broadway Ste 101
Englewood, CO 80113-3674 - Phone
- (720) 539-7373
- NPI assigned
- Jul 1, 2021
- 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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3780 S Broadway Ste 101
Englewood, CO 80113-3674
Mailing address
3780 S Broadway Ste 101
Englewood, CO 80113-3674
Phone (720) 539-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 461785455 | Other | CO | KEY TRANSIT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dispatch@keytransit.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1093386922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 S BROADWAY STE 101",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133674",
"telephone_number": "720-539-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 S BROADWAY STE 101",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133674",
"telephone_number": "720-539-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEBBEN",
"first_name": "CORY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEY TRANSIT",
"identifier": "461785455",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dispatch@keytransit.com",
"affiliation": "N",
"endpointDescription": "Key Transit",
"address_1": "3780 S Broadway Ste 101",
"city": "Englewood",
"state": "CO",
"country_code": "US",
"postal_code": "801133674",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.