NPIMap

Organization Active NPI

La Cambra Co

  • Addiction Medicine (Family Medicine) Physician
  • Centennial, CO
National Provider Identifier
1396092672
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
50505 Issued in CO
Legal business name
LA CAMBRA CO
Practice address
12835 E Arapahoe Rd
Centennial, CO 80112-3940
Phone
(720) 666-0000
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
George Crispy
Title
Ceo
Phone
(720) 666-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X 50505 CO Primary

Addresses

Primary practice location

12835 E Arapahoe Rd
Centennial, CO 80112-3940

Mailing address

12835 E Arapahoe Rd
Centennial, CO 80112-3940
Phone (720) 666-0000

National Provider Directory

National Provider Directory

Locations

12835 E Arapahoe Rd
Centennial, CO 80112
Phone (303) 954-9809

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1396092672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "720-666-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12835 E ARAPAHOE RD",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123940",
            "telephone_number": "720-666-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CAMBRA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "CRISPY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-666-0000"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "50505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.