Active NPI
Thu Ta, RDS
- Registered Dietetic Technician
- Denver, CO
National Provider Identifier
1205048451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietetic Technician
- Practice address
- 10065 E. Harvard Ave
Denver, CO 80231 - Phone
- (303) 743-5855
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietetic Technician | 136A00000X | Primary |
Addresses
Primary practice location
10065 E. Harvard Ave
Denver, CO 80231
Mailing address
5515 Revere St
Denver, CO 80239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205048451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 REVERE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "80239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 E. HARVARD AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "80231",
"telephone_number": "303-743-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "THU",
"credential": "RDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "136A00000X",
"taxonomy_group": "",
"desc": "Dietetic Technician, Registered",
"state": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.