Individual provider Active NPI

Derrick Lorenzo Fitts Sr., M.A., A.T., C., PES

  • Specialist
  • Denver, CO
National Provider Identifier
1982635181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
977482 Issued in CO
Practice address
1000 Chopper Cir
Denver, CO 80204-5805
Phone
(303) 405-1320
Fax
(303) 405-1120
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 977482 CO Primary

Addresses

Primary practice location

1000 Chopper Cir
Denver, CO 80204-5805

Mailing address

5337 S Rome Cir
Aurora, CO 80015-7515
Phone (303) 405-1320

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
977482COMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982635181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 S ROME CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800157515",
            "telephone_number": "303-405-1320",
            "fax_number": "303-405-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHOPPER CIR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802045805",
            "telephone_number": "303-405-1320",
            "fax_number": "303-405-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTS",
        "first_name": "DERRICK",
        "middle_name": "LORENZO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.A., A.T., C., PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "977482",
            "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 Jul 8, 2007; 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.