Individual provider Active NPI

Ezzat Moghazy, PHD

  • Clinic/Center
  • Denver, CO
National Provider Identifier
1376149914
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NLC.0107853 Issued in CO
Practice address
50 S Steele St Ste 950
Denver, CO 80209-2843
Phone
(303) 810-8888
NPI assigned
Dec 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NLC.0107853 CO Primary

Addresses

Primary practice location

50 S Steele St Ste 950
Denver, CO 80209-2843

Mailing address

50 S Steele St Ste 950
Denver, CO 80209-2843
Phone (303) 810-8888

Other identifiers 1

IdentifierTypeStateIssuer
NONOtherCOHOLISTIC INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Denver Direct

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NLC.0107853COMDClinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1376149914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 950",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092843",
            "telephone_number": "303-810-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S STEELE ST STE 950",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092843",
            "telephone_number": "303-810-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHAZY",
        "first_name": "EZZAT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "NLC.0107853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOLISTIC INSURANCE",
            "identifier": "NON",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "endpointDescription": "My Best Healer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Denver",
            "address_1": "50 S Steele St Ste 950",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802092843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 9, 2020; 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.