Organization Active NPI

Dan a Cristescu MD PC

  • Rheumatology Physician
  • Colorado Springs, CO
National Provider Identifier
1457690141
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
52051 Issued in CO
Legal business name
DAN A CRISTESCU MD PC
Practice address
215 Parkside Dr
Su 200
Colorado Springs, CO 80910-3131
Phone
(719) 475-9613
Fax
(719) 475-9539
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Dan Aurel Cristescu, M.D.NPI 1972784601
Title
Owner
Phone
(401) 402-0064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 52051 CO Primary

Addresses

Primary practice location

215 Parkside Dr
Su 200
Colorado Springs, CO 80910-3131

Mailing address

215 Parkside Dr
Su 200
Colorado Springs, CO 80910-3131
Phone (719) 475-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130803000004 CO Part B Supplier - Clinic/Group Practice 9638311624 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

215 S Parkside Dr
#200
Colorado Springs, CO 80910
Phone (719) 475-9613

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1457690141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PARKSIDE DR",
            "address_2": "SU 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "719-475-9613",
            "fax_number": "719-475-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PARKSIDE DR",
            "address_2": "SU 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103131",
            "telephone_number": "719-475-9613",
            "fax_number": "719-475-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN A CRISTESCU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "CRISTESCU",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "AUREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-402-0064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "52051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.