NPIMap

Organization Active NPI

Denver Recovery Group LLC

  • Methadone Clinic
  • Boulder, CO
National Provider Identifier
1013537919
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
DENVER RECOVERY GROUP LLC
Practice address
5330 Manhattan Cir Ste H
Boulder, CO 80303-4240
Phone
(720) 536-5571
Fax
(720) 225-2067
NPI assigned
Apr 21, 2020
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DENVER RECOVERY GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Karla Chavez
Title
Billing Manager
Phone
(575) 993-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

5330 Manhattan Cir Ste H
Boulder, CO 80303-4240

Mailing address

2822 E Colfax Ave
Denver, CO 80206-1507
Phone (303) 953-2299

Other identifiers 1

IdentifierTypeStateIssuer
9000148295MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205002501 CO Part B Supplier - Opioid Treatment Program (Otp) 6406282748 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durango, CO; Northglenn, CO; Montrose, CO; Littleton, CO; Lakewood, CO; Glenwood Springs, CO; Denver, CO; Colorado Springs, CO…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Denver Recovery Group LLC35 organizations share this tax ID, including this one
Part of
Denver Recovery Group LLC

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1013537919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061507",
            "telephone_number": "303-953-2299",
            "fax_number": "303-953-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 MANHATTAN CIR STE H",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034240",
            "telephone_number": "720-536-5571",
            "fax_number": "720-225-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER RECOVERY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENVER RECOVERY GROUP LLC",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "575-993-5225"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000148295",
            "state": "CO"
        }
    ],
    "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 Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.