Organization Active NPI

Ricardo Esparza, PH.D., PLLC

  • Rehabilitation Clinic/Center
  • Boulder, CO
National Provider Identifier
1992072094
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
646 Issued in CO
Legal business name
RICARDO ESPARZA, PH.D., PLLC
Practice address
1790 30TH St
Suite 120
Boulder, CO 80301-1022
Phone
(303) 447-0022
Fax
(303) 541-9712
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Ricardo Esparza, PH.D.
Title
Managing Partner
Phone
(303) 447-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 646 CO Primary

Addresses

Primary practice location

1790 30TH St
Suite 120
Boulder, CO 80301-1022

Mailing address

1790 30TH St
Suite 120
Boulder, CO 80301-1022
Phone (303) 447-0022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1992072094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST",
            "address_2": "SUITE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011022",
            "telephone_number": "303-447-0022",
            "fax_number": "303-541-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST",
            "address_2": "SUITE 120",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011022",
            "telephone_number": "303-447-0022",
            "fax_number": "303-541-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO ESPARZA, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-447-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CO",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.