Individual provider Active NPI

Daniel Ramirez, NP-C

  • Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1720097512
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0004452 Issued in CO
Practice address
23 Blue Heron Dr
Thornton, CO 80241-1995
Phone
(303) 946-8843
Fax
(720) 439-7762
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 103080 CO
Nurse Practitioner 363L00000X 0004452 CO Primary

Addresses

Primary practice location

23 Blue Heron Dr
Thornton, CO 80241-1995

Mailing address

23 Blue Heron Dr
Thornton, CO 80241-1995
Phone (303) 946-8843

Other identifiers 2

IdentifierTypeStateIssuer
53780850MedicaidCO
808378OtherCOMEDICARE TYPE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000383 CO Practitioner - Nurse Practitioner 2365344223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12080 Bellaire Way
Elms Haven
Thornton, CO 80241-3600
Phone (303) 450-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0004452COMDSurgical Physician Assistant
103080COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Care Specialists CurrentSince Jun 1, 2016 Accepting new patients
Columbine Ridge Family Medicine P C CurrentSince Sep 22, 2015 Accepting new patients
Long Term Care and Rehab Consultants CurrentSince Aug 15, 2008 Accepting new patients
Diagnostic Imaging Associates Past Accepting new patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Past Accepting new patients
Radiology Imaging Associates, PC Past Accepting new patients

Locations

12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127

2501 E 104th Ave
Thornton, CO 80233
Phone (303) 255-4100

12080 Bellaire Way
Thornton, CO 80241
Phone (303) 450-2700

7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1720097512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BLUE HERON DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802411995",
            "telephone_number": "303-946-8843",
            "fax_number": "720-439-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BLUE HERON DR",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802411995",
            "telephone_number": "303-946-8843",
            "fax_number": "720-439-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "DANIEL",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "103080",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0004452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53780850",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TYPE ID",
            "identifier": "808378",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.