Individual provider Active NPI

Gregory Hollis, L.AC.

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1437669256
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU.00022777 Issued in CO
Practice address
50 S Federal Blvd
Denver, CO 80219-2044
Phone
(303) 922-2977
Fax
(303) 922-2044
NPI assigned
Oct 6, 2017
Reactivated
Aug 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU.00022777 CO Primary

Addresses

Primary practice location

50 S Federal Blvd
Denver, CO 80219-2044

Mailing address

50 S Federal Blvd
Denver, CO 80219-2044
Phone (303) 922-2977

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACU.00022777COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1437669256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192044",
            "telephone_number": "303-922-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802192044",
            "telephone_number": "303-922-2977",
            "fax_number": "303-922-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "GREGORY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "deactivation_date": "2018-08-08",
        "reactivation_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.00022777",
            "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 Nov 11, 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.