Organization Active NPI

Corevision Network, LLC

  • Clinic/Center
  • Aurora, CO
National Provider Identifier
1467846477
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COREVISION NETWORK, LLC
Practice address
14201 E 4TH Ave
Building 4, Suite 110
Aurora, CO 80011-8748
Phone
(404) 809-7764
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Mr. Nathaniel Hardage Jr.
Title
Owner
Phone
(404) 809-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14201 E 4TH Ave
Building 4, Suite 110
Aurora, CO 80011-8748

Mailing address

411 S Cascade Ave
Suite 100
Colorado Springs, CO 80903-3809

National Provider Directory

National Provider Directory
Tax ID family
Corevision Network LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1467846477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S CASCADE AVE",
            "address_2": "SUITE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 E 4TH AVE",
            "address_2": "BUILDING 4, SUITE 110",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118748",
            "telephone_number": "404-809-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREVISION NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "HARDAGE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-809-7764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.