Organization Active NPI

Coram Clinical Trials, Inc.

  • Case Management Agency
  • Denver, CO
National Provider Identifier
1366574469
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CORAM CLINICAL TRIALS, INC.
Practice address
555 17TH St
Suite 1500
Denver, CO 80202-3950
Phone
(303) 672-8631
Fax
(303) 298-0047
NPI assigned
Mar 12, 2007
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CORAM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Jody L Kepler
Title
President
Phone
(303) 762-8631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

555 17TH St
Suite 1500
Denver, CO 80202-3950

Mailing address

555 17TH St
Suite 1500
Denver, CO 80202-3950
Phone (303) 672-8631

National Provider Directory

National Provider Directory
Part of
Coram LLC

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1366574469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 17TH ST",
            "address_2": "SUITE 1500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023950",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 17TH ST",
            "address_2": "SUITE 1500",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023950",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM CLINICAL TRIALS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM LLC",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "KEPLER",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-762-8631"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "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 Mar 24, 2016; 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.