Individual provider Active NPI

Juan M Orraca

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1225514771
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
0002229 Issued in CO
Practice address
1699 S Colorado Blvd Unit M
Denver, CO 80222-4021
Phone
(303) 953-1471
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0002229 CO Primary

Addresses

Primary practice location

1699 S Colorado Blvd Unit M
Denver, CO 80222-4021

Mailing address

1017 S Birch St Apt 501B
Glendale, CO 80246-2522
Phone (720) 787-2574

Other identifiers 1

IdentifierTypeStateIssuer
000000OtherN/A

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

State licenses

LicenseStateTypeSpecialty
0002229COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Vitality Acupuncture and Chinese Medicine, LLC. Acupuncturist Current Accepting new patients

Locations

1699 S Colorado Blvd
Unit M
Denver, CO 80222
Phone (303) 953-1471

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1225514771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S BIRCH ST APT 501B",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462522",
            "telephone_number": "720-787-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO BLVD UNIT M",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224021",
            "telephone_number": "303-953-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRACA",
        "first_name": "JUAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "0002229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000000",
            "state": null
        }
    ],
    "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 18, 2018; 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.