NPIMap

Organization Active NPI

Advanced Heart and Vein Center Inc

  • Interventional Cardiology Physician
  • Thornton, CO
National Provider Identifier
1639744352
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED HEART AND VEIN CENTER INC
Practice address
805 E 144TH Ave Ste 230
Thornton, CO 80023-9210
Phone
(720) 772-8040
Fax
(720) 805-1551
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Dr. Qaisar Khan, MDNPI 1952344301
Title
President/Physician
Phone
(720) 772-8040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

805 E 144TH Ave Ste 230
Thornton, CO 80023-9210

Mailing address

805 E 144TH Ave Ste 100
Thornton, CO 80023-9210
Phone (720) 772-8040

Other identifiers 1

IdentifierTypeStateIssuer
DR.0051263OtherCOCOLORADO MEDICAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Advanced Heart and Vein Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1639744352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E 144TH AVE STE 100",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800239210",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E 144TH AVE STE 230",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "800239210",
            "telephone_number": "720-772-8040",
            "fax_number": "720-805-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART AND VEIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "QAISAR",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "720-772-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "DR.0051263",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.