Active NPI
Omid Ferdowsian, D.C., C.C.E.P.
- Chiropractor
- Denver, CO
National Provider Identifier
1861452625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5466
- Practice address
- 899 N Logan St
Ste 105
Denver, CO 80203-3154 - Phone
- (303) 831-1122
- Fax
- (303) 831-1144
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5466 | CO | Primary |
Addresses
Primary practice location
899 N Logan St
Ste 105
Denver, CO 80203-3154
Mailing address
899 Logan St
Suite 105
Denver, CO 80203-3130
Phone (303) 831-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 668207 | Other | CO | BC/BS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
899 N Logan St
Suite 105
Denver, CO 80203-3154
Phone (303) 831-1122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Chiropractor
- Denver, CO
- NPI 1831760867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1861452625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "899 LOGAN ST",
"address_2": "SUITE 105",
"city": "DENVER",
"state": "CO",
"postal_code": "802033130",
"telephone_number": "303-831-1122",
"fax_number": "303-831-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 N LOGAN ST",
"address_2": "STE 105",
"city": "DENVER",
"state": "CO",
"postal_code": "802033154",
"telephone_number": "303-831-1122",
"fax_number": "303-831-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDOWSIAN",
"first_name": "OMID",
"name_prefix": "Dr.",
"credential": "D.C., C.C.E.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "668207",
"state": "CO"
}
],
"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 Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.