Icon Ride LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ICON RIDE LLC

Practice address

18332 E Kansas PL
Aurora, CO 80017-4568

Phone

(720) 757-2912

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Mekdes Feleke

Title

Owner

Phone

(720) 757-2912

Specialties & licenses 1

Addresses

Other names 1

• Icon Ride Doing business as

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1497591960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18332 E KANSAS PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174568",
            "telephone_number": "720-757-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18332 E KANSAS PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174568",
            "telephone_number": "720-757-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "FELEKE",
        "authorized_official_first_name": "MEKDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-757-2912"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icon Ride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Aurora, CO
• Providers in Aurora, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.