NPIMap

Organization Active NPI

Livenew, Co.

  • Surgery Physician
  • Englewood, CO
National Provider Identifier
1336669076
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LIVENEW, CO.
Practice address
9800 Mt Pyramid CT Ste 300
Englewood, CO 80112-2667
Phone
(303) 269-4370
Fax
(303) 269-4371
NPI assigned
Jun 23, 2017
Last updated
Mar 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Dr. Joshua William Long, MDNPI 1922212729
Title
Authorized Official
Phone
(303) 269-4370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Surgery Physician 208600000X DR.0051485 CO
Surgery Physician 208600000X Primary

Addresses

Primary practice location

9800 Mt Pyramid CT Ste 300
Englewood, CO 80112-2667

Mailing address

9695 S Yosemite St Ste 285
Lone Tree, CO 80124-2890
Phone (303) 269-4370

Other identifiers 1

IdentifierTypeStateIssuer
DR.0051485OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170721002720 CO Part B Supplier - Clinic/Group Practice 0648540724 Receives reassigned benefits from 4 practitioners
Practice locations: Castle Rock, CO; Aurora, CO; Parker, CO; Larkspur, CO; Denver, CO; Greenwood Village, CO

National Provider Directory

National Provider Directory

Locations

9800 Pyramid Ct
Ste 300
Englewood, CO 80112
Phone (303) 269-4370

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1336669076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 S YOSEMITE ST STE 285",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242890",
            "telephone_number": "303-269-4370",
            "fax_number": "303-269-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 MT PYRAMID CT STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801122667",
            "telephone_number": "303-269-4370",
            "fax_number": "303-269-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVENEW, CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "303-269-4370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0051485",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DR.0051485",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.