Active NPI
Christian Blake Bailey, C.P.O.
- Prosthetist
- Denver, CO
National Provider Identifier
1104986819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO1908
- Practice address
- 695 S Colorado Blvd
Suite #220
Denver, CO 80246-8008 - Phone
- (303) 346-1906
- Fax
- (303) 962-1820
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO1908 | DE | |
| Prosthetist | 224P00000X | CPO1908 | DE | Primary |
Addresses
Primary practice location
695 S Colorado Blvd
Suite #220
Denver, CO 80246-8008
Mailing address
695 S Colorado Blvd
Suite #220
Denver, CO 80246-8008
Phone (303) 346-1906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38833051 | Medicaid | CO |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO1908 | DE | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Technology | Past | Accepting new patients |
Organizations & group practices 1
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 Creative Technology Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Westminster, CO
- NPI 1033414446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1104986819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 S COLORADO BLVD",
"address_2": "SUITE #220",
"city": "DENVER",
"state": "CO",
"postal_code": "802468008",
"telephone_number": "303-346-1906",
"fax_number": "303-962-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 S COLORADO BLVD",
"address_2": "SUITE #220",
"city": "DENVER",
"state": "CO",
"postal_code": "802468008",
"telephone_number": "303-346-1906",
"fax_number": "303-962-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "CHRISTIAN",
"middle_name": "BLAKE",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "DE",
"license": "CPO1908",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "DE",
"license": "CPO1908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38833051",
"state": "CO"
}
],
"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 Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.