Organization Active NPI

Lujan Massage

  • Medical Specialty Clinic/Center
  • Brighton, CO
National Provider Identifier
1760834493
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0012391 Issued in CO
Legal business name
LUJAN MASSAGE
Doing business as
DBA Green Leaf Massage Center Brighton
Practice address
429 E Bridge St
Brighton, CO 80601-2101
Phone
(720) 408-8555
Fax
(720) 408-8555
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Donesha L Lujan
Title
Owner
Phone
(303) 704-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0012391 CO Primary

Addresses

Primary practice location

429 E Bridge St
Brighton, CO 80601-2101

Mailing address

429 E Bridge St
Brighton, CO 80601-2101
Phone (720) 408-8555

Other names 1

  • DBA Green Leaf Massage Center Brighton Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1760834493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012101",
            "telephone_number": "720-408-8555",
            "fax_number": "720-408-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E BRIDGE ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012101",
            "telephone_number": "720-408-8555",
            "fax_number": "720-408-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUJAN MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "LUJAN",
        "authorized_official_first_name": "DONESHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-704-9059"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "0012391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Green Leaf Massage Center Brighton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.