NPIMap

Organization Active NPI

Opensided MRI of Denver, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Denver, CO
National Provider Identifier
1689695694
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
OPENSIDED MRI OF DENVER, LLC
Practice address
5250 Leetsdale Dr
Ste 125
Denver, CO 80246
Phone
(303) 331-1500
Fax
(303) 331-1505
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
John Steven Platusic
Title
Coo
Phone
(804) 363-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

5250 Leetsdale Dr
Ste 125
Denver, CO 80246

Mailing address

5250 Leetsdale Dr
Ste 125
Denver, CO 80246-1438
Phone (303) 331-1500

Other identifiers 1

IdentifierTypeStateIssuer
7189851MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000294 CO Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4880590629 Practice locations: Denver, CO

National Provider Directory

National Provider Directory

Locations

5250 Leetsdale Dr
Ste 125
Denver, CO 80246
Phone (303) 331-1500

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1689695694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR",
            "address_2": "STE 125",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461438",
            "telephone_number": "303-331-1500",
            "fax_number": "303-331-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR",
            "address_2": "STE 125",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "303-331-1500",
            "fax_number": "303-331-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENSIDED MRI OF DENVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-04-08",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "PLATUSIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "804-363-1007"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7189851",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.