Organization Active NPI

Beautyblade Plastic Surgery PC

  • Plastic Surgery Physician
  • Englewood, CO
National Provider Identifier
1164112108
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BEAUTYBLADE PLASTIC SURGERY PC
Practice address
3333 S Bannock St Ste 150
Englewood, CO 80110-2514
Phone
(720) 677-5649
Fax
(720) 647-3784
NPI assigned
May 12, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Nancy Ho
Title
Practice Operations Director
Phone
(303) 521-4342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

3333 S Bannock St Ste 150
Englewood, CO 80110-2514

Mailing address

3333 S Bannock St Ste 150
Englewood, CO 80110-2514
Phone (720) 677-5649

National Provider Directory

National Provider Directory

Locations

3333 S Bannock St
Ste 150
Englewood, CO 80110
Phone (720) 677-5649

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1164112108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST STE 150",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102514",
            "telephone_number": "720-677-5649",
            "fax_number": "720-647-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S BANNOCK ST STE 150",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102514",
            "telephone_number": "720-677-5649",
            "fax_number": "720-647-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTYBLADE PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "303-521-4342"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.