Active NPI
Mica Button
- Specialist
- Denver, CO
National Provider Identifier
1336563352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT0014556
- Practice address
- 1730 Blake St
Suite B-30
Denver, CO 80202-1283 - Phone
- (303) 304-4128
- Fax
- (970) 785-2700
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MT0014556 | CO | Primary |
Addresses
Primary practice location
1730 Blake St
Suite B-30
Denver, CO 80202-1283
Mailing address
1730 Blake St
B-30
Denver, CO 80202-1283
Phone (303) 304-4128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0014556 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1336563352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 BLAKE ST",
"address_2": "B-30",
"city": "DENVER",
"state": "CO",
"postal_code": "802021283",
"telephone_number": "303-304-4128",
"fax_number": "970-785-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 BLAKE ST",
"address_2": "SUITE B-30",
"city": "DENVER",
"state": "CO",
"postal_code": "802021283",
"telephone_number": "303-304-4128",
"fax_number": "970-785-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTON",
"first_name": "MICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "MT0014556",
"primary": true
}
],
"identifiers": [],
"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 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.