Organization Active NPI

Toxicology Associates Prof LLC

  • Specialist
  • Denver, CO
National Provider Identifier
1275749350
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22473 Issued in CO
Legal business name
TOXICOLOGY ASSOCIATES PROF LLC
Practice address
2555 S Downing St
Suite 260
Denver, CO 80210-5855
Phone
(303) 765-3800
Fax
(303) 765-3804
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Su Dierbeck
Title
Administrator
Phone
(303) 765-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 22473 CO Primary

Addresses

Primary practice location

2555 S Downing St
Suite 260
Denver, CO 80210-5855

Mailing address

2555 S Downing St
Suite 260
Denver, CO 80210-5855
Phone (303) 765-3800

Other identifiers 4

IdentifierTypeStateIssuer
01224732MedicaidCO
01345784MedicaidCO
01281856MedicaidCO
92374875MedicaidCO

National Provider Directory

National Provider Directory

Locations

2555 S Downing St
Ste 260
Denver, CO 80210
Phone (303) 765-1800

26 W Dry Creek Cir
Ste 325
Littleton, CO 80120
Phone (720) 477-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1275749350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST",
            "address_2": "SUITE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105855",
            "telephone_number": "303-765-3800",
            "fax_number": "303-765-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DOWNING ST",
            "address_2": "SUITE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105855",
            "telephone_number": "303-765-3800",
            "fax_number": "303-765-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOXICOLOGY ASSOCIATES PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "DIERBECK",
        "authorized_official_first_name": "SU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-765-3800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "22473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01224732",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345784",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281856",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92374875",
            "state": "CO"
        }
    ],
    "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 Oct 7, 2009; 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.