Active NPI
Elroii Dessalegn Shibeshi
- Driver
- Denver, CO
National Provider Identifier
1447948385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 132800663
- Practice address
- 1001 S Havana St Apt 212
Denver, CO 80012-2904 - Phone
- (720) 532-7016
- NPI assigned
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 132800663 | CO | Primary |
Addresses
Primary practice location
1001 S Havana St Apt 212
Denver, CO 80012-2904
Mailing address
1001 S Havana St Apt 212
Denver, CO 80012-2904
Phone (720) 532-7016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132800663 | CO | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1447948385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S HAVANA ST APT 212",
"city": "DENVER",
"state": "CO",
"postal_code": "800122904",
"telephone_number": "720-532-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S HAVANA ST APT 212",
"city": "DENVER",
"state": "CO",
"postal_code": "800122904",
"telephone_number": "720-532-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIBESHI",
"first_name": "ELROII",
"middle_name": "DESSALEGN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-27",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CO",
"license": "132800663",
"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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.