Individual provider Active NPI

Shibo Li

  • Clinical Cytogenetics Physician
  • Aurora, CO
National Provider Identifier
1750104097
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X
License
96113CYT Issued in CO
Practice address
12705 E Montview Blvd Ste 400
Aurora, CO 80045-7112
Phone
(303) 724-5701
NPI assigned
Nov 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics Physician 207SC0300X 96113CYT CO Primary

Addresses

Primary practice location

12705 E Montview Blvd Ste 400
Aurora, CO 80045-7112

Mailing address

12705 E Montview Blvd Ste 400
Aurora, CO 80045-7112
Phone (303) 724-5701

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
96113CYTCOMDClinical Cytogenetics Physician

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1750104097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 E MONTVIEW BLVD STE 400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457112",
            "telephone_number": "303-724-5701",
            "fax_number": "303-724-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 E MONTVIEW BLVD STE 400",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800457112",
            "telephone_number": "303-724-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "SHIBO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CO",
            "license": "96113CYT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.