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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Qaisar Khan, MD
Title
President/Physician
Phone
(720) 772-8040

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.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
IdentifierTypeStateIssuer
DR.0051263OtherCOCOLORADO MEDICAL LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2021.

{
    "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": "193200000X MULTI-SPECIALTY 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.