Active NPI
Changing Times Medical Technology
- Health Service Clinic/Center
- Denver, CO
National Provider Identifier
1164003257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CHANGING TIMES MEDICAL TECHNOLOGY
- Practice address
- 1230 S Parker Rd Ste 208
Denver, CO 80231-2119 - Phone
- (720) 404-0424
- Fax
- (303) 955-5963
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwendolyne Thornton
- Title
- Owner/President
- Phone
- (303) 593-1595
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
1230 S Parker Rd Ste 208
Denver, CO 80231-2119
Mailing address
1230 S Parker Rd Ste 208
Denver, CO 80231-2119
Phone (303) 593-1595
Other names 1
- CTMT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211130000722 | CO | Part B Supplier - Mass Immunization (Roster Biller Only) | 2860800216 | Practice locations: Denver, CO |
National Provider Directory
National Provider DirectoryLocations
1230 S Parker Rd
Ste 208
Denver, CO 80231
Phone (720) 404-0424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Technician
- Aurora, CO
- NPI 1801181193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1164003257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 S PARKER RD STE 208",
"city": "DENVER",
"state": "CO",
"postal_code": "802312119",
"telephone_number": "303-593-1595",
"fax_number": "303-955-5963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 S PARKER RD STE 208",
"city": "DENVER",
"state": "CO",
"postal_code": "802312119",
"telephone_number": "720-404-0424",
"fax_number": "303-955-5963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING TIMES MEDICAL TECHNOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "GWENDOLYNE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "303-593-1595"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CTMT",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.