| NPI | 1114907482 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-01-20 |
| Last Updated | 2015-07-01 |
| Mailing Address | 850 E Harvard Ave, Suite 385 Denver, CO 80210-5073 United States Phone: (303) 762-1200 | Fax: (303) 762-0508 📍 View Map |
| Primary Practice Address | 850 E Harvard Ave, Suite 385 Denver, CO 80210-5073 United States Phone: (303) 762-1200 | Fax: (303) 762-0508 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CO | 01002989 | — |
| Other (non-Medicare) | CO | 7047 | BC/BS Provider # |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 213EP1101X – Podiatrist, Primary Podiatric Medicine | CO | 298 |
| No | 213ES0000X – Podiatrist, Sports Medicine | CO | 298 |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | CO | 298 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1114907482
Edward K Raczka is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114907482. The primary specialty listed is Podiatrist, Primary Podiatric Medicine. The provider is located in Denver, CO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114907482?
NPI 1114907482 belongs to Edward K Raczka, a Podiatrist, Primary Podiatric Medicine in Denver, CO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114907482 active?
The current status of NPI 1114907482 in the NPPES registry is Active. The record was last updated on 2015-07-01.
What specialty is NPI 1114907482?
NPI 1114907482 is classified under the taxonomy Podiatrist, Primary Podiatric Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114907482?
You can verify NPI 1114907482 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114907482?
The primary practice address on file for NPI 1114907482 is 850 E Harvard Ave, Denver, CO 80210-5073. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114907482 issued?
NPI 1114907482 was first issued (enumerated) on 2006-01-20. The NPPES record was last updated on 2015-07-01.
Practice Location Map
Edward K Raczka is located at 850 E Harvard Ave, Denver, CO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Edward K Raczka. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114907482. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Podiatrist, Primary Podiatric Medicine | 298 | CO |
| Podiatrist, Sports Medicine | 298 | CO |
| Podiatrist, Foot & Ankle Surgery | 298 | CO |