Injury Care Associates Parker LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

INJURY CARE ASSOCIATES PARKER LLC

Doing business as

Injury Care Associates

Practice address

19284 Cottonwood Dr Ste 101
Parker, CO 80138-3881

Phone

(970) 443-2232

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

No

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

(970) 443-2232

Specialties & licenses 1

Addresses

Other names 1

• Injury Care Associates Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1942872783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 W 26TH AVE STE 5A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802115300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19284 COTTONWOOD DR STE 101",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383881",
            "telephone_number": "970-443-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CARE ASSOCIATES PARKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "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": "970-443-2232"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.