NPIMap

Organization Active NPI

Golden Age

  • Point of Service
  • Aurora, CO
National Provider Identifier
1639559206
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
04E899 Issued in CO
Legal business name
GOLDEN AGE
Practice address
21595 E Layton LN
Aurora, CO 80015-6776
Phone
(720) 299-2506
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Timur Tashkulov
Title
Administrator
Phone
(720) 299-0506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 04E899 CO Primary

Addresses

Primary practice location

21595 E Layton LN
Aurora, CO 80015-6776

Mailing address

21595 E Layton LN
Aurora, CO 80015-6776
Phone (720) 299-2506

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1639559206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21595 E LAYTON LN",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156776",
            "telephone_number": "720-299-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21595 E LAYTON LN",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156776",
            "telephone_number": "720-299-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN AGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "TASHKULOV",
        "authorized_official_first_name": "TIMUR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-299-0506"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "04E899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.