Active NPI
McCracken Eye & Face Institute PC
- Specialist
- Parker, CO
National Provider Identifier
1962642603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- DR-41566
- Legal business name
- MCCRACKEN EYE & FACE INSTITUTE PC
- Practice address
- 11960 Lioness Way
Suite 160
Parker, CO 80134-5640 - Phone
- (720) 851-6600
- NPI assigned
- Feb 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael McCracken, MD
- Title
- President
- Phone
- (303) 916-1553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | DR-41566 | CO | Primary |
Addresses
Primary practice location
11960 Lioness Way
Suite 160
Parker, CO 80134-5640
Mailing address
11960 Lioness Way
Suite 160
Parker, CO 80134-5640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043291701 | Other | CO | INDIVIDUAL NPI |
| 503038 | Other | CO | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10465 Park Meadows Dr
Ste 105
Lone Tree, CO 80124
Phone (720) 851-6600
11960 Lioness Way
Ste 160
Parker, CO 80134
Phone (720) 851-6600
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Parker, CO
- NPI 1043291701
-
- Surgical Physician Assistant
- Denver, CO
- NPI 1427524669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239840000000",
"number": "1962642603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11960 LIONESS WAY",
"address_2": "SUITE 160",
"city": "PARKER",
"state": "CO",
"postal_code": "801345640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11960 LIONESS WAY",
"address_2": "SUITE 160",
"city": "PARKER",
"state": "CO",
"postal_code": "801345640",
"telephone_number": "720-851-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCRACKEN EYE & FACE INSTITUTE PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-20",
"last_updated": "2009-04-16",
"status": "A",
"authorized_official_last_name": "MCCRACKEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-916-1553",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CO",
"license": "DR-41566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1043291701",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "503038",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.