Active NPI
Cadiramd
- Clinic/Center
- Denver, CO
National Provider Identifier
1194273003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.