Active NPI
Platinum Medical LLC
- Land Ambulance
- Denver, CO
National Provider Identifier
1285767772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2006-2
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025480400 | Other | CO | NE MEDICAID |
| 88624382 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.