NPIMap

Organization Active NPI

Idea-Aurora

  • Community/Behavioral Health Agency
  • Aurora, CO
National Provider Identifier
1356644330
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IDEA-AURORA
Practice address
730 Peoria St
Aurora, CO 80011-8231
Phone
(720) 949-0095
Fax
(720) 949-2005
NPI assigned
Dec 13, 2010
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
IDEA FORUM INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Miguel Avina
Title
Coo
Phone
(303) 477-8280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

730 Peoria St
Aurora, CO 80011-8231

Mailing address

730 Peoria St
Aurora, CO 80011-8231
Phone (720) 949-0095

Other identifiers 1

IdentifierTypeStateIssuer
9000147791MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Idea Forum Inc4 organizations share this tax ID, including this one
Part of
Idea Forum Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1090 S Sable Blvd
Aurora, CO 80012
Phone (720) 858-9111

730 Peoria St
Aurora, CO 80011
Phone (303) 343-6130

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1356644330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118231",
            "telephone_number": "720-949-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 PEORIA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118231",
            "telephone_number": "720-949-0095",
            "fax_number": "720-949-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEA-AURORA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDEA FORUM INC.",
        "enumeration_date": "2010-12-13",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "AVINA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-477-8280"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000147791",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.