Organization Active NPI

Mile High Metabolic LLC

  • Primary Care Clinic/Center
  • Greenwood Village, CO
National Provider Identifier
1649802935
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MILE HIGH METABOLIC LLC
Practice address
6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739
Phone
(303) 542-6899
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Dr. Samantha Ann Deliere, MD
Title
Owner / Cmo
Phone
(239) 404-6530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6200 S Syracuse Way Ste 260
Greenwood Village, CO 80111-4739

Mailing address

4942 W Union Ave
Denver, CO 80236-3319
Phone (239) 404-6530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1649802935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 W UNION AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363319",
            "telephone_number": "239-404-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S SYRACUSE WAY STE 260",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114739",
            "telephone_number": "303-542-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE HIGH METABOLIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "DELIERE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER / CMO",
        "authorized_official_telephone_number": "239-404-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.