Organization Active NPI

Trucare MTM LLC

  • Multi-Specialty Clinic/Center
  • Denver, CO
National Provider Identifier
1780039669
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
0002005990 Issued in CO
Legal business name
TRUCARE MTM LLC
Practice address
2283 S Monaco Pkwy Ste 101
Denver, CO 80222-5845
Phone
(720) 295-4229
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Ken Roderick
Title
Owner
Phone
(720) 295-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 0002005990 CO Primary

Addresses

Primary practice location

2283 S Monaco Pkwy Ste 101
Denver, CO 80222-5845

Mailing address

4860 Chambers Rd # 206
Denver, CO 80239-5152

National Provider Directory

National Provider Directory

Locations

2283 S Monaco Pkwy
Ste 101
Denver, CO 80222
Phone (720) 295-4229

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1780039669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 CHAMBERS RD # 206",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802395152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 S MONACO PKWY STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225845",
            "telephone_number": "720-295-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE MTM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-295-4229"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CO",
            "license": "0002005990",
            "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 Apr 28, 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.