NPIMap

Organization Active NPI

Betru LLC

Doing business as Blue Creek Integrative Health

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1750692265
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1170 Issued in CO
Legal business name
BETRU LLC
Doing business as
Blue Creek Integrative Health
Practice address
7350 E 29TH Ave
Suite 204
Denver, CO 80238-2720
Phone
(303) 573-7484
Fax
(303) 573-0994
NPI assigned
Jun 30, 2010
Last updated
Jun 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Megan M Long, L.AC.
Title
Owner
Phone
(303) 573-7484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1170 CO Primary
Specialist 174400000X 4897 CO

Addresses

Primary practice location

7350 E 29TH Ave
Suite 204
Denver, CO 80238-2720

Mailing address

7350 E 29TH Ave
Suite 204
Denver, CO 80238-2720
Phone (303) 573-7484

Other identifiers 1

IdentifierTypeStateIssuer
LNDMKOtherCALANDMARK

Other names 1

  • Blue Creek Integrative Health Doing business as

National Provider Directory

National Provider Directory

Locations

7350 E 29th Ave
Unit 204
Denver, CO 80238
Phone (303) 573-7484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1750692265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 E 29TH AVE",
            "address_2": "SUITE 204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382720",
            "telephone_number": "303-573-7484",
            "fax_number": "303-573-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 E 29TH AVE",
            "address_2": "SUITE 204",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382720",
            "telephone_number": "303-573-7484",
            "fax_number": "303-573-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETRU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-573-7484",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1170",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "4897",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "LNDMK",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Creek Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 30, 2010; 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.