Active NPI
Toxicology Associates Prof LLC
- Specialist
- Denver, CO
National Provider Identifier
1275749350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 22473
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01224732 | Medicaid | CO | |
| 01345784 | Medicaid | CO | |
| 01281856 | Medicaid | CO | |
| 92374875 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
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.