Individual provider Active NPI

Courtney Coale Carag, ND, LAC

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1790951465
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1308 Issued in CO
Practice address
3405 N Downing St Ste D
Denver, CO 80205-3982
Phone
(720) 663-7194
Fax
(720) 438-7102
NPI assigned
May 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 113 CO
Acupuncturist 171100000X 1308 CO Primary

Addresses

Primary practice location

3405 N Downing St Ste D
Denver, CO 80205-3982

Mailing address

3405 N Downing St Ste D
Denver, CO 80205-3982
Phone (720) 663-7194

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
1308COMDAcupuncturist
113COMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Collective Acupuncturist CurrentSince Jun 1, 2020 Accepting new patients
Pharmers' Market Acupuncturist CurrentSince Apr 26, 2020 Accepting new patients
Chiropractic Wellness Center Past Accepting new patients

Locations

3405 N Downing St
Ste D
Denver, CO 80205
Phone (720) 663-7194

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1790951465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 N DOWNING ST STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053982",
            "telephone_number": "720-663-7194",
            "fax_number": "720-438-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 N DOWNING ST STE D",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053982",
            "telephone_number": "720-663-7194",
            "fax_number": "720-438-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAG",
        "first_name": "COURTNEY",
        "middle_name": "COALE",
        "credential": "ND, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CO",
            "license": "113",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "1308",
            "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 23, 2020; 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.