Organization Active NPI

Optimum Vitality Acupuncture and Chinese Medicine, LLC.

  • Acupuncturist
  • Denver, CO
National Provider Identifier
1861958977
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
OPTIMUM VITALITY ACUPUNCTURE AND CHINESE MEDICINE, LLC.
Doing business as
Optimum Vitality Acupuncture and Chinese Medicine, LLC.
Practice address
1699 S Colorado Blvd Unit M
Denver, CO 80222-4021
Phone
(303) 953-1471
Fax
(303) 945-4172
NPI assigned
Feb 13, 2019
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Juan M Orraca, L.ACNPI 1225514771
Title
Acupuncturist
Phone
(720) 787-2574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

1699 S Colorado Blvd Unit M
Denver, CO 80222-4021

Mailing address

1017 S Birch St Apt 501B
Denver, CO 80246-2522
Phone (720) 787-2574

Other identifiers 1

IdentifierTypeStateIssuer
0002229OtherCOACUPUUNCTURE

Other names 1

  • Optimum Vitality Acupuncture and Chinese Medicine, LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

1699 S Colorado Blvd
Unit M
Denver, CO 80222
Phone (303) 953-1471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1861958977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S BIRCH ST APT 501B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462522",
            "telephone_number": "720-787-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO BLVD UNIT M",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224021",
            "telephone_number": "303-953-1471",
            "fax_number": "303-945-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM VITALITY ACUPUNCTURE AND CHINESE MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "ORRACA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "720-787-2574",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUUNCTURE",
            "identifier": "0002229",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Vitality Acupuncture and Chinese Medicine, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2019; 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.