Active NPI
Richard Giambruno
- Contractor
- Parker, CO
National Provider Identifier
1508307091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 10940 S Parker Rd
#139
Parker, CO 80134-7440 - Phone
- (904) 451-9488
- NPI assigned
- Mar 16, 2017
- Sex
- Male
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10940 S Parker Rd
#139
Parker, CO 80134-7440
Mailing address
10940 S Parker Rd
#139
Parker, CO 80134-7440
Phone (904) 451-9488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2017.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1508307091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10940 S PARKER RD",
"address_2": "#139",
"city": "PARKER",
"state": "CO",
"postal_code": "801347440",
"telephone_number": "904-451-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10940 S PARKER RD",
"address_2": "#139",
"city": "PARKER",
"state": "CO",
"postal_code": "801347440",
"telephone_number": "904-451-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMBRUNO",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-16",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.