Individual provider Active NPI

Hakim Talipov

  • Contractor
  • Aurora, CO
National Provider Identifier
1114300951
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
PUC B-09979 Issued in CO
Practice address
17989 E Dickenson PL
Aurora, CO 80013-5909
Phone
(720) 532-2920
Fax
(720) 282-3337
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X PUC B-09979 CO Primary

Addresses

Primary practice location

17989 E Dickenson PL
Aurora, CO 80013-5909

Mailing address

1602 S Parker Rd Ste 308
Denver, CO 80231-2922
Phone (720) 532-2920

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

LicenseStateTypeSpecialty
PUC B-09979COMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1114300951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 S PARKER RD STE 308",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312922",
            "telephone_number": "720-532-2920",
            "fax_number": "720-282-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17989 E DICKENSON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135909",
            "telephone_number": "720-532-2920",
            "fax_number": "720-282-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIPOV",
        "first_name": "HAKIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CO",
            "license": "PUC B-09979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.