Active NPI
Nancy a Houlder MD LLC
- Ophthalmology Physician
- Wheat Ridge, CO
National Provider Identifier
1174585350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 30959
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54354358 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.