Active NPI
Chris Hernandez
- Prevention Professional
- Aurora, CO
National Provider Identifier
1932640877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 0012717
- Practice address
- 2220 S Fraser St Unit 3
Aurora, CO 80014-4508 - Phone
- (303) 210-2466
- NPI assigned
- Mar 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 0012717 | CO | Primary |
Addresses
Primary practice location
2220 S Fraser St Unit 3
Aurora, CO 80014-4508
Mailing address
2072 Oakcrest Cir Unit 1E
Castle Rock, CO 80104-5313
Phone (720) 979-1546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012717 | CO | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489190400000",
"number": "1932640877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 OAKCREST CIR UNIT 1E",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801045313",
"telephone_number": "720-979-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 S FRASER ST UNIT 3",
"city": "AURORA",
"state": "CO",
"postal_code": "800144508",
"telephone_number": "303-210-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "CHRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-11",
"last_updated": "2017-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CO",
"license": "0012717",
"primary": true
}
],
"identifiers": [],
"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 Mar 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.