Provider Demographics
NPI:1578815882
Name:CPAP ALTERNATIVES OF COLORADO, LLC
Entity Type:Organization
Organization Name:CPAP ALTERNATIVES OF COLORADO, LLC
Other - Org Name:DENVER INSTITUTE FOR HEADACHE, TMJ AND SLEEP DISORDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-663-9100
Mailing Address - Street 1:858 W HAPPY CANYON RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3912
Mailing Address - Country:US
Mailing Address - Phone:303-663-9100
Mailing Address - Fax:303-688-3999
Practice Address - Street 1:858 W HAPPY CANYON RD
Practice Address - Street 2:SUITE 135
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3912
Practice Address - Country:US
Practice Address - Phone:303-663-9100
Practice Address - Fax:303-688-3999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6395122300000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6720390001Medicare NSC