Organization Active NPI

Cadiramd

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1194273003
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CADIRAMD
Practice address
4785 Tejon St
Ste, 300
Denver, CO 80211-1200
Phone
(720) 477-0640
Fax
(720) 381-2582
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Beau Gertz
Title
Owner, President - Sales/Operations
Phone
(720) 477-0637

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary
Infusion Therapy Clinic/Center 261QI0500X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

4785 Tejon St
Ste, 300
Denver, CO 80211-1200

Mailing address

4785 Tejon St
Ste, 300
Denver, CO 80211-1200
Phone (720) 477-0640

National Provider Directory

National Provider Directory

Locations

4785 Tejon St
Ste 300
Denver, CO 80211
Phone (720) 477-0640

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1194273003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4785 TEJON ST",
            "address_2": "STE, 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111200",
            "telephone_number": "720-477-0640",
            "fax_number": "720-381-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4785 TEJON ST",
            "address_2": "STE, 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802111200",
            "telephone_number": "720-477-0640",
            "fax_number": "720-381-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADIRAMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "GERTZ",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "OWNER, PRESIDENT - SALES/OPERATIONS",
        "authorized_official_telephone_number": "720-477-0637"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 20, 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.