NPIMap

Organization Active NPI

Green Leaf Massage Center. LLC

  • Health Maintenance Organization
  • Arvada, CO
National Provider Identifier
1881984102
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MT-9224 Issued in CO
Legal business name
GREEN LEAF MASSAGE CENTER. LLC
Practice address
11890 W.64TH Avenue
Arvada, CO 80004
Phone
(303) 423-6091
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Danette Andrea SiravoNPI 1184921454
Title
Ownr
Phone
(303) 423-6091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MT-9224 CO Primary

Addresses

Primary practice location

11890 W.64TH Avenue
Arvada, CO 80004

Mailing address

11890 W.64TH Avenue
Arvada, CO 80004
Phone (303) 423-6091

National Provider Directory

National Provider Directory

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": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1881984102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 W.64TH AVENUE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-423-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 W.64TH AVENUE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "80004",
            "telephone_number": "303-423-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF MASSAGE CENTER. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SIRAVO",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNR",
        "authorized_official_telephone_number": "303-423-6091"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "MT-9224",
            "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 Apr 8, 2011; 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.