Organization Active NPI

Vican Medical,Inc.

  • Prosthetic/Orthotic Supplier
  • Aurora, CO
National Provider Identifier
1861453896
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VICAN MEDICAL,INC.
Practice address
2323 S Troy St
Suite 3-105
Aurora, CO 80014-1946
Phone
(303) 306-1120
Fax
(303) 306-1134
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Vitalis Chinedu Nwagwu
Title
President
Phone
(303) 306-1120

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X
Prosthetic/Orthotic Supplier 335E00000X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

2323 S Troy St
Suite 3-105
Aurora, CO 80014-1946

Mailing address

2323 S Troy St
Suite 3-105
Aurora, CO 80014-1946
Phone (303) 306-1120

Other identifiers 1

IdentifierTypeStateIssuer
64032736MedicaidCO

National Provider Directory

National Provider Directory

Locations

2323 S Troy St
Ste 3105
Aurora, CO 80014
Phone (303) 306-1120

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861453896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "SUITE 3-105",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "303-306-1120",
            "fax_number": "303-306-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST",
            "address_2": "SUITE 3-105",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141946",
            "telephone_number": "303-306-1120",
            "fax_number": "303-306-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICAN MEDICAL,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "VITALIS",
        "authorized_official_middle_name": "CHINEDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-306-1120"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64032736",
            "state": "CO"
        }
    ],
    "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 Sep 11, 2025; 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.