Individual provider Active NPI

Joseph Lorenzo Wilbert, CAC III

  • Substance Abuse Rehabilitation Facility
  • Commerce City, CO
National Provider Identifier
1669774550
Registry record updated Nov 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Practice address
7251 E 49TH Ave
Commerce City, CO 80022-4714
Phone
(303) 321-2533
Fax
(303) 468-6184
NPI assigned
Nov 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CO Primary

Addresses

Primary practice location

7251 E 49TH Ave
Commerce City, CO 80022-4714

Mailing address

7251 E 49TH Ave
Commerce City, CO 80022-4714
Phone (303) 321-2533

Other identifiers 1

IdentifierTypeStateIssuer
6905OtherCOCAC III

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

NPI Registry JSON

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

{
    "created_epoch": "1290729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290729600000",
    "number": "1669774550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 E 49TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224714",
            "telephone_number": "303-321-2533",
            "fax_number": "303-468-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 E 49TH AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800224714",
            "telephone_number": "303-321-2533",
            "fax_number": "303-468-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBERT",
        "first_name": "JOSEPH",
        "middle_name": "LORENZO",
        "name_prefix": "Mr.",
        "credential": "CAC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-26",
        "last_updated": "2010-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAC III",
            "identifier": "6905",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2010; 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.