Exotic Lox

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

EXOTIC LOX

Practice address

2150 S Bellaire St Ste 106
Denver, CO 80222-4931

Phone

(720) 290-8608

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Berta Bachayeva

Title

Owner /Employee

Phone

(720) 290-8608

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1275293417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221575",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802221015",
            "telephone_number": "720-290-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S BELLAIRE ST STE 106",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224931",
            "telephone_number": "720-290-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOTIC LOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BACHAYEVA",
        "authorized_official_first_name": "BERTA",
        "authorized_official_title_or_position": "OWNER /EMPLOYEE",
        "authorized_official_telephone_number": "720-290-8608"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetics Case Management in Denver, CO
• Providers in Denver, CO by specialty
• Prosthetics Case Management in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.