Victory Associates LTD, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VICTORY ASSOCIATES LTD, INC.

Practice address

6403 E Colfax Ave
Denver, CO 80220-1603

Phone

(303) 399-4177

Fax

(303) 399-0500

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Olusegun O. Ogidan

Title

President/Ceo

Phone

(303) 399-4177

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1336135755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300692",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802030692",
            "telephone_number": "303-399-4177",
            "fax_number": "303-399-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201603",
            "telephone_number": "303-399-4177",
            "fax_number": "303-399-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY ASSOCIATES LTD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "OGIDAN",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "303-399-4177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME/HME SUPPLY PROVVIDER",
            "identifier": "014306",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08002032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.