Organization Active NPI

J. Michael Caruso, MD, Facep, L.L.C.

  • Health Service Clinic/Center
  • Denver, CO
National Provider Identifier
1619330826
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
42486 Issued in CO
Legal business name
J. MICHAEL CARUSO, MD, FACEP, L.L.C.
Practice address
1650 N Grant St
Denver, CO 80203-1602
Phone
(303) 549-9057
Fax
(303) 993-6276
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Joseph Michael Caruso, MD
Title
Owner/Physician
Phone
(303) 204-9674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 42486 CO Primary

Addresses

Primary practice location

1650 N Grant St
Denver, CO 80203-1602

Mailing address

1650 N Grant St
Denver, CO 80203-1602
Phone (303) 549-9057

Other names 1

  • Hyper Real Beauty Doing business as

National Provider Directory

National Provider Directory

Locations

1650 N Grant St
Denver, CO 80203
Phone (303) 482-1540

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1619330826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031602",
            "telephone_number": "303-549-9057",
            "fax_number": "303-993-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N GRANT ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031602",
            "telephone_number": "303-549-9057",
            "fax_number": "303-993-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL CARUSO, MD, FACEP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-204-9674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "42486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyper Real Beauty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 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.