Active NPI
Mile High Iom, LLC
- Specialist
- Denver, CO
National Provider Identifier
1245686377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3071
- Legal business name
- MILE HIGH IOM, LLC
- Practice address
- 652 N High St
Denver, CO 80218-3638 - Phone
- (720) 999-5031
- NPI assigned
- May 7, 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
- John T Hyland, CNIM
- Title
- Owner
- Phone
- (720) 999-5031
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 3071 | CO | Primary |
Addresses
Primary practice location
652 N High St
Denver, CO 80218-3638
Mailing address
652 N High St
Denver, CO 80218-3638
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462579200000",
"number": "1245686377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 N HIGH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802183638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 N HIGH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802183638",
"telephone_number": "720-999-5031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILE HIGH IOM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-07",
"last_updated": "2016-05-07",
"status": "A",
"authorized_official_last_name": "HYLAND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "720-999-5031",
"authorized_official_credential": "CNIM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "3071",
"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 May 7, 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.