Organization Active NPI

Platinum Medical LLC

  • Land Ambulance
  • Denver, CO
National Provider Identifier
1285767772
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2006-2 Issued in CO
Legal business name
PLATINUM MEDICAL LLC
Practice address
2758 S Knoxville Way
Denver, CO 80227-3858
Phone
(303) 777-3788
Fax
(303) 940-7773
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Mr. Brent L Cass
Title
Owner
Phone
(303) 777-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2006-2 CO Primary

Addresses

Primary practice location

2758 S Knoxville Way
Denver, CO 80227-3858

Mailing address

PO Box 100130
Denver, CO 80250-0130
Phone (303) 777-3788

Other identifiers 2

IdentifierTypeStateIssuer
10025480400OtherCONE MEDICAID
88624382MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1285767772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100130",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802500130",
            "telephone_number": "303-777-3788",
            "fax_number": "303-777-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 S KNOXVILLE WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273858",
            "telephone_number": "303-777-3788",
            "fax_number": "303-940-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "CASS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-777-3788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CO",
            "license": "2006-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE MEDICAID",
            "identifier": "10025480400",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88624382",
            "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 Feb 8, 2008; 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.