Active NPI
Mary Annette Dekowzan, CMT
- Specialist
- Centennial, CO
National Provider Identifier
1164617635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 8230 S Colorado Blvd
Suite B-3
Centennial, CO 80122-3689 - Phone
- (303) 770-6355
- NPI assigned
- Sep 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | CO | Primary |
Addresses
Primary practice location
8230 S Colorado Blvd
Suite B-3
Centennial, CO 80122-3689
Mailing address
PO Box 997
Castle Rock, CO 80104-0997
Phone (720) 301-2583
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1164617635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 997",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801040997",
"telephone_number": "720-301-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 S COLORADO BLVD",
"address_2": "SUITE B-3",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801223689",
"telephone_number": "303-770-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKOWZAN",
"first_name": "MARY",
"middle_name": "ANNETTE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.