NPIMap

Organization Active NPI

Standley Lake Massage

  • Clinic/Center
  • Arvada, CO
National Provider Identifier
1861870347
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MT0013340 Issued in CO
Legal business name
STANDLEY LAKE MASSAGE
Practice address
8725 Wadsworth Blvd
Unit a
Arvada, CO 80003-0928
Phone
(303) 425-7298
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Mr. Pankaj Garg
Title
Co-Owner
Phone
(720) 333-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MT0013340 CO Primary

Addresses

Primary practice location

8725 Wadsworth Blvd
Unit a
Arvada, CO 80003-0928

Mailing address

8725 Wadsworth Blvd
Unit a
Arvada, CO 80003-0928
Phone (303) 425-7298

National Provider Directory

National Provider Directory
Tax ID family
Standley Lake Massage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1861870347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 WADSWORTH BLVD",
            "address_2": "UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030928",
            "telephone_number": "303-425-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 WADSWORTH BLVD",
            "address_2": "UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800030928",
            "telephone_number": "303-425-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDLEY LAKE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "720-333-1589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "MT0013340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.