Individual provider Active NPI

Mustafa Mohammed Ali

  • Driver
  • Aurora, CO
National Provider Identifier
1942665211
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
20151797380 Issued in CO
Practice address
12254 E Arizona Ave
Aurora, CO 80012
Phone
(720) 325-8694
NPI assigned
Dec 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 20151797380 CO Primary

Addresses

Primary practice location

12254 E Arizona Ave
Aurora, CO 80012

Mailing address

12254 E Arizona Ave
Aurora, CO 80012-4318
Phone (720) 325-8694

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

LicenseStateTypeSpecialty
20151797380COMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1942665211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12254 E ARIZONA AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124318",
            "telephone_number": "720-325-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12254 E ARIZONA AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80012",
            "telephone_number": "720-325-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED ALI",
        "first_name": "MUSTAFA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CO",
            "license": "20151797380",
            "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 Dec 30, 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.