Organization Active NPI

Nancy a Houlder MD LLC

  • Ophthalmology Physician
  • Wheat Ridge, CO
National Provider Identifier
1174585350
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30959 Issued in CO
Legal business name
NANCY A HOULDER MD LLC
Practice address
3555 Lutheran Pkwy
Suite 120
Wheat Ridge, CO 80033-6021
Phone
(303) 463-4634
Fax
(303) 463-4633
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Nancy A Houlder, MD
Title
Owner
Phone
(303) 463-4634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 30959 CO Primary

Addresses

Primary practice location

3555 Lutheran Pkwy
Suite 120
Wheat Ridge, CO 80033-6021

Mailing address

3555 Lutheran Pkwy
Suite 120
Wheat Ridge, CO 80033-6021
Phone (303) 463-4634

Other identifiers 1

IdentifierTypeStateIssuer
54354358MedicaidCO

National Provider Directory

National Provider Directory

Locations

15400 W 64th Ave
Unit E11
Arvada, CO 80007

400 Indiana St
Ste 360
Golden, CO 80401
Phone (303) 384-3700

3555 Lutheran Pkwy
Ste 120
Wheat Ridge, CO 80033
Phone (303) 422-6043

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1174585350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 120",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021",
            "telephone_number": "303-463-4634",
            "fax_number": "303-463-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "SUITE 120",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336021",
            "telephone_number": "303-463-4634",
            "fax_number": "303-463-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A HOULDER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HOULDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-463-4634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "30959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54354358",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.