NPIMap

Organization Active NPI

Amazing Wheels

  • Transportation Broker
  • Aurora, CO
National Provider Identifier
1477934388
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
AMAZING WHEELS
Practice address
3090 S Jamaica CT
209
Aurora, CO 80014-2658
Phone
(720) 495-0256
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Gennadiy Gnatyuk
Title
Owner
Phone
(720) 495-0256

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B-9937 CO
Transportation Broker 347E00000X CO Primary

Addresses

Primary practice location

3090 S Jamaica CT
209
Aurora, CO 80014-2658

Mailing address

PO Box 24312
Denver, CO 80224-0312

Other identifiers 1

IdentifierTypeStateIssuer
32871546MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1477934388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24312",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802240312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 S JAMAICA CT",
            "address_2": "209",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142658",
            "telephone_number": "720-495-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "GNATYUK",
        "authorized_official_first_name": "GENNADIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-495-0256"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "B-9937",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32871546",
            "state": "CO"
        }
    ],
    "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 Apr 8, 2020; 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.