NPIMap

Organization Active NPI

Infectious Disease Consultants

  • Specialist
  • Denver, CO
National Provider Identifier
1972580884
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36795 Issued in CO
Legal business name
INFECTIOUS DISEASE CONSULTANTS
Practice address
1601 E 19TH Avenue #3650
Denver, CO 80218-1216
Phone
(303) 831-4774
Fax
(303) 839-7750
NPI assigned
Dec 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. Matthew G. Terra, M.D.
Title
M.D.
Phone
(303) 831-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 36795 CO Primary

Addresses

Primary practice location

1601 E 19TH Avenue #3650
Denver, CO 80218-1216

Mailing address

1601 E 19TH Avenue #3650
Denver, CO 80218-1216
Phone (303) 831-4774

Other identifiers 2

IdentifierTypeStateIssuer
42406846MedicaidCO
36795OtherCOLICENSE

National Provider Directory

National Provider Directory
Tax ID family
Infectious Disease Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1972580884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVENUE #3650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-831-4774",
            "fax_number": "303-839-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVENUE #3650",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-831-4774",
            "fax_number": "303-839-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "TERRA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "303-831-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "36795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42406846",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36795",
            "state": "CO"
        }
    ],
    "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 Jan 30, 2008; 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.