Active NPI
Chelsea Marie Ideker, MSOTR/L
- Contractor
- Denver, CO
National Provider Identifier
1689983595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2687
- Practice address
- 1821 S Pearl St
Denver, CO 80210-3136 - Phone
- (970) 690-7204
- NPI assigned
- Sep 28, 2010
- Last updated
- Nov 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2687 | CO | Primary |
Addresses
Primary practice location
1821 S Pearl St
Denver, CO 80210-3136
Mailing address
1821 S Pearl St
Denver, CO 80210-3136
Phone (970) 690-7204
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2687 | CO | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1689983595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S PEARL ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802103136",
"telephone_number": "970-690-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 S PEARL ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802103136",
"telephone_number": "970-690-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDEKER",
"first_name": "CHELSEA",
"middle_name": "MARIE",
"credential": "MSOTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CO",
"license": "2687",
"primary": true
}
],
"identifiers": [],
"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 Nov 2, 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.