Individual provider Active NPI

Khrisi Marie Valdez, OROFACIAL MYOLOGIST

  • Speech/Language/Hearing Specialist/Technologist
  • Denver, CO
National Provider Identifier
1710684022
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
License
124578 Issued in CO
Practice address
2121 S Oneida St
Denver, CO 80224-2549
Phone
(303) 759-2760
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 1245788 CO
Speech/Language/Hearing Specialist/Technologist 235500000X 124577 CO
Other Specialist/Technologist 246Z00000X 124577 CO
Speech/Language/Hearing Specialist/Technologist 235500000X 124578 CO Primary

Addresses

Primary practice location

2121 S Oneida St
Denver, CO 80224-2549

Mailing address

2121 S Oneida St
Denver, CO 80224-2549
Phone (303) 759-2760

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

State licenses

LicenseStateTypeSpecialty
1245788COMDRespiratory/Developmental/Rehabilitative Specialist/Technologist
124577COMDOther Specialist/Technologist
124578COMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1710684022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242549",
            "telephone_number": "303-759-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S ONEIDA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242549",
            "telephone_number": "303-759-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "KHRISI",
        "middle_name": "MARIE",
        "credential": "OROFACIAL MYOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "CO",
            "license": "1245788",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "CO",
            "license": "124577",
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "CO",
            "license": "124577",
            "primary": false
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "CO",
            "license": "124578",
            "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 Feb 8, 2023; 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.