Organization Active NPI

Noel So M.D. LLC

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1790179174
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
52828 Issued in CO
Legal business name
NOEL SO M.D. LLC
Practice address
1601 E 19TH Ave
Suite 4400
Denver, CO 80218-1216
Phone
(720) 417-2677
Fax
(303) 399-1376
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Noel So, M.D.
Title
Physician
Phone
(720) 417-2677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 52828 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Suite 4400
Denver, CO 80218-1216

Mailing address

PO Box 5264
Denver, CO 80217-5264
Phone (720) 417-2677

Other identifiers 1

IdentifierTypeStateIssuer
1902127921OtherNPI

National Provider Directory

National Provider Directory

Locations

1601 E 19th Ave
Ste 4400
Denver, CO 80218
Phone (303) 424-6565

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1790179174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5264",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175264",
            "telephone_number": "720-417-2677",
            "fax_number": "303-399-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "720-417-2677",
            "fax_number": "303-399-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL SO M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "720-417-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "52828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902127921",
            "state": null
        }
    ],
    "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 Mar 24, 2015; 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.