Active NPI
Ryan John Keating, MASSAGE THERAPIST
- Community Health Worker
- Denver, CO
National Provider Identifier
1609287762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MT.0015942
- Practice address
- 590 W Cedar Ave
#1406
Denver, CO 80223-1845 - Phone
- (707) 217-3979
- NPI assigned
- May 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MT.0015942 | CO | Primary |
Addresses
Primary practice location
590 W Cedar Ave
#1406
Denver, CO 80223-1845
Mailing address
590 W Cedar Ave
#1406
Denver, CO 80223-1845
Phone (707) 217-3979
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0015942 | CO | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1609287762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 W CEDAR AVE",
"address_2": "#1406",
"city": "DENVER",
"state": "CO",
"postal_code": "802231845",
"telephone_number": "707-217-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 W CEDAR AVE",
"address_2": "#1406",
"city": "DENVER",
"state": "CO",
"postal_code": "802231845",
"telephone_number": "707-217-3979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATING",
"first_name": "RYAN",
"middle_name": "JOHN",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-12",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CO",
"license": "MT.0015942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.