Todd Dextradeur Md Pc
LBN: Todd Dextradeur Md Pc
Todd Dextradeur Md Pc is an health care organization with primary practice located at 51 W. 84Th Ave Ste 300, Thornton CO 80260-4883. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Todd Dextradeur Md Pc can be contacted via phone (720) 289-8184, or through Dextradeur, Todd C. via phone (720) 289-8184.
Contact Information
Primary practice address
51 W. 84Th Ave Ste 300
Thornton CO 80260-4883
Phone: (720) 289-8184
Fax: (303) 457-2341
Website:
Authorized official contact:
Name: Dextradeur, Todd C. Doctor of Medicine (MD)
Phone: (720) 289-8184
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 35500 | Colorado |
Profile Details
| NPI number | 1881864072 |
|---|---|
| LBN Legal business name | Todd Dextradeur Md Pc |
| DBA Doing business as | |
| Authorized official | Dextradeur, Todd C. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Oct 9th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881864072 | NPPES |
| Colorado | Other | 35500 | MEDICAL LIC |
| Colorado | MEDICAID | 01355007 | MEDICAL LIC |
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