Active NPI
Jose Ignacio Mayordomo, M.D., PH.D.
- Medical Oncology Physician
- Denver, CO
National Provider Identifier
1134478365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- TDP.0041921
- Practice address
- 777 Bannock St
Denver, CO 80204-4507 - Phone
- (303) 436-6900
- NPI assigned
- Sep 4, 2012
- Last updated
- Jul 8, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | TDP.0041921 | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4507
Mailing address
Ave. Juan Pablo II, 66
11B
Zaragoza, ZARAGOZA 50009
ES
Phone 01134645312941
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TDP.0041921 | CO | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1134478365",
"addresses": [
{
"country_code": "ES",
"country_name": "Spain",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "AVE. JUAN PABLO II, 66",
"address_2": "11B",
"city": "ZARAGOZA",
"state": "ZARAGOZA",
"postal_code": "50009",
"telephone_number": "01134645312941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044507",
"telephone_number": "303-436-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYORDOMO",
"first_name": "JOSE",
"middle_name": "IGNACIO",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-04",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CO",
"license": "TDP.0041921",
"primary": true
}
],
"identifiers": [],
"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 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.