Harry Budisidharta, JD

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1537 Alton St
Aurora, CO 80010-1712

Phone

(303) 923-6370

Fax

(303) 923-2951

NPI assigned

Jun 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

Practice roles

Locations

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.

• Asian Pacific Center for Human Development

  • Community Health Clinic/Center
  • Aurora, CO
  • NPI 1578773214
  NPD Authorized official
• Asian Pacific Center for Human Development

  • Community/Behavioral Health Agency
  • Aurora, CO
  • NPI 1548664477
  NPD

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1922590801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 ALTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101712",
            "telephone_number": "303-923-6370",
            "fax_number": "303-923-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 ALTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800101712",
            "telephone_number": "303-923-6370",
            "fax_number": "303-923-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDISIDHARTA",
        "first_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Wayne Buckner, M.D.
• Weronika Buckner, RN
• Shannon Buckvold, MD
• Jeanette Budd
• Angela Marie Budgin, M.D.
• Isadore Michael Budnick, MD
• Gerald Roland Buechter
• Amber Nicole Buehrle, CGC
• Jane Browning Buell
• Michaela Buenaventura, MD

• Case Manager/Care Coordinator in Aurora, CO
• Providers in Aurora, CO by specialty
• Case Manager/Care Coordinator in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.