Advanced Cardiovascular Centers of America, Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ADVANCED CARDIOVASCULAR CENTERS OF AMERICA, INC

Practice address

805 E 144TH Ave Ste 230
Thornton, CO 80023-9210

Phone

(720) 772-8040

Fax

(720) 805-1551

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Qaisar Khan, MDNPI 1952344301

Title

President Physician

Phone

(720) 772-8040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qaisar M Khan, M.D.

  • Interventional Cardiology Physician
  • Thornton, CO
  • NPI 1952344301
  NPD Authorized official

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1134713753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 124TH AVE STE 150",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802341718",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E 144TH AVE STE 230",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800239210",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR CENTERS OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "QAISAR",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "720-772-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0051263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Interventional Cardiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.