Adino Demissie Bogale Sr.

Primary specialty

DriverTaxonomy code 172A00000X

License

20151668889 Issued in CO

Practice address

1218 S Carson Way # a
Aurora, CO 80012-4643

Phone

(720) 206-8178

Fax

(720) 428-8336

NPI assigned

May 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mile High Limo LLLC

  • Contractor
  • Denver, CO
  • NPI 1043700917
  NPD (past) Authorized official

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526083200000",
    "number": "1447740717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 S CARSON WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124643",
            "telephone_number": "720-206-8178",
            "fax_number": "720-428-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 S CARSON WAY # A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124643",
            "telephone_number": "720-206-8178",
            "fax_number": "720-428-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGALE",
        "first_name": "ADINO",
        "middle_name": "DEMISSIE",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "20151668889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIS IS MY CREATING NUMBERS",
            "identifier": "6525203",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Boehm, PT
• Erin Boersma
• Melissa B Boersma, NP
• Danielle M Boesenberg
• Bich Ngoc Boeser, AA
• Jean M. Bogar, L.C.S.W.
• Amanda Regina Bogart, M.D.
• Jessica Renee Bogart
• Brianna Bogdajewicz
• Maria Eliana Boggio de Morelos

• Driver in Aurora, CO
• Providers in Aurora, CO by specialty
• Driver in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2018; 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.