Active NPI
Dan Mario Moreno Marquez, LMT
- Massage Therapist
- Brighton, CO
National Provider Identifier
1629889654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0027107
- Practice address
- 203 Telluride St Unit 1000
Brighton, CO 80601-4367 - Phone
- (303) 588-0057
- NPI assigned
- Jan 17, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0027107 | CO | Primary |
Addresses
Primary practice location
203 Telluride St Unit 1000
Brighton, CO 80601-4367
Mailing address
1742 Wildwood St
Lochbuie, CO 80603-5812
Phone (303) 588-0057
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.0027107 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1629889654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 WILDWOOD ST",
"city": "LOCHBUIE",
"state": "CO",
"postal_code": "806035812",
"telephone_number": "303-588-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 TELLURIDE ST UNIT 1000",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806014367",
"telephone_number": "303-588-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO MARQUEZ",
"first_name": "DAN",
"middle_name": "MARIO",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0027107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.