Organization Active NPI

Injury Care Associates, LLC

  • Occupational Medicine Clinic/Center
  • Denver, CO
National Provider Identifier
1942744784
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
39176 Issued in CO
Legal business name
INJURY CARE ASSOCIATES, LLC
Practice address
2490 W 26TH Ave
Suite a-5
Denver, CO 80211-5314
Phone
(303) 531-4144
Fax
(303) 531-4145
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Anthony Brett De Mooy
Title
President
Phone
(720) 584-5827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 39176 CO Primary

Addresses

Primary practice location

2490 W 26TH Ave
Suite a-5
Denver, CO 80211-5314

Mailing address

2490 W 26TH Ave
Suite a-5
Denver, CO 80211-5314
Phone (303) 531-4144

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2124773Injury Care Associates, LLC2490 West 26TH Ave, Denver, CO 80211Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Locations

2490 W 26th Ave
Ste 5A
Denver, CO 80211
Phone (303) 531-4144

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1942744784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "SUITE A-5",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-531-4144",
            "fax_number": "303-531-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE",
            "address_2": "SUITE A-5",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115314",
            "telephone_number": "303-531-4144",
            "fax_number": "303-531-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "DE MOOY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-584-5827"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": "39176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.