Organization Active NPI

Depeche Assisting, PC

  • Surgical Physician Assistant
  • Denver, CO
National Provider Identifier
1174917405
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
DEPECHE ASSISTING, PC
Practice address
700 Colorado Blvd Ste 115
Denver, CO 80206-4084
Phone
(281) 324-5660
Fax
(281) 324-5679
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Fred J Diss
Title
Registered Agent
Phone
(281) 324-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X CO Primary

Addresses

Primary practice location

700 Colorado Blvd Ste 115
Denver, CO 80206-4084

Mailing address

PO Box 1288
Crosby, TX 77532-1288
Phone (281) 324-5660

National Provider Directory

National Provider Directory

Locations

700 N Colorado Blvd
Ste 115
Denver, CO 80206

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1174917405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321288",
            "telephone_number": "281-324-5660",
            "fax_number": "281-324-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD STE 115",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "281-324-5660",
            "fax_number": "281-324-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPECHE ASSISTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "DISS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "281-324-5660"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 17, 2016; 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.