Individual provider Active NPI

Ibrahim Elhadi Dabka

  • Non-emergency Medical Transport (VAN)
  • Denver, CO
National Provider Identifier
1245780352
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
20151042317 Issued in CO
Practice address
1150 Syracuse St Apt 13-255
Denver, CO 80220-3264
Phone
(720) 217-1229
NPI assigned
Oct 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 20151042317 CO Primary

Addresses

Primary practice location

1150 Syracuse St Apt 13-255
Denver, CO 80220-3264

Mailing address

1150 Syracuse St
#13-255
Denver, CO 80220-3200
Phone (720) 217-1229

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
20151042317COMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1245780352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SYRACUSE ST",
            "address_2": "#13-255",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203200",
            "telephone_number": "720-217-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 SYRACUSE ST APT 13-255",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203264",
            "telephone_number": "720-217-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABKA",
        "first_name": "IBRAHIM",
        "middle_name": "ELHADI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "20151042317",
            "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 Dec 28, 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.