Organization Active NPI

Michael a. Tralla M.D., P.C.

  • Specialist
  • Wheat Ridge, CO
National Provider Identifier
1184940884
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21450 Issued in CO
Legal business name
MICHAEL A. TRALLA M.D., P.C.
Practice address
3555 Lutheran Pkwy
Ste 160
Wheat Ridge, CO 80033-6017
Phone
(303) 425-0440
Fax
(303) 425-4086
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Dr. Michael A. Tralla, M.D.NPI 1689715088
Title
Physician
Phone
(303) 425-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 21450 CO Primary

Addresses

Primary practice location

3555 Lutheran Pkwy
Ste 160
Wheat Ridge, CO 80033-6017

Mailing address

3555 Lutheran Pkwy
Ste 160
Wheat Ridge, CO 80033-6017
Phone (303) 425-0440

National Provider Directory

National Provider Directory

Locations

3555 Lutheran Pkwy
Ste 160
Wheat Ridge, CO 80033
Phone (303) 422-3727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1184940884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "STE 160",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336017",
            "telephone_number": "303-425-0440",
            "fax_number": "303-425-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "STE 160",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336017",
            "telephone_number": "303-425-0440",
            "fax_number": "303-425-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. TRALLA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "TRALLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "303-425-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "21450",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 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.