Active NPI
Michael T Desalvo, STUDENT
- Student in an Organized Health Care Education/Training Program
- Aurora, CO
National Provider Identifier
1831538693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 941660856
- Practice address
- 11059 E. Bethany Dr. Ste 200
Aurora, CO 80014 - Phone
- (303) 617-2300
- Fax
- (303) 617-2397
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 941660856 | CO | Primary |
Addresses
Primary practice location
11059 E. Bethany Dr. Ste 200
Aurora, CO 80014
Mailing address
967 Marion Street #19
Denver, CO 80218
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
| License | State | Type | Specialty |
|---|---|---|---|
| 941660856 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1831538693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "967 MARION STREET #19",
"city": "DENVER",
"state": "CO",
"postal_code": "80218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11059 E. BETHANY DR. STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "80014",
"telephone_number": "303-617-2300",
"fax_number": "303-617-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESALVO",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "STUDENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "941660856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.