Inner City Health Center

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

INNER CITY HEALTH CENTER

Practice address

6301 W 38TH Ave
Wheat Ridge, CO 80033-5057

Phone

(303) 940-9118

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Karina Villagrana

Title

Dental Practice Manager

Phone

(303) 296-4873

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• New Hope Doing business as
• Wheat Ridge Family Health Center Doing business as

Tax ID family

Inner City Health Cente3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Inner City Health Center

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1558964734
  NPD tax ID
• Inner City Health Center

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1811159551
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18112/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1003078742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335057",
            "telephone_number": "303-940-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335057",
            "telephone_number": "303-940-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "VILLAGRANA",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "DENTAL PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-296-4873"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14003031",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Hope",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wheat Ridge Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia Iguchi
• Suellen E Ikenberry, NP
• Marleyna Augusteina Illig
• Independent Living Solutions Inc.
• Monica Marie Ingham
• Inner City Health Center
• Integrated Life Choices
• Integrated Rehab Consultants Colorado LLC
• Intermountain Front Range, Inc
• Intermountain Front Range, Inc

• Dentist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.