Denver West Physical Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DENVER WEST PHYSICAL MEDICINE

Practice address

12505 W 32ND Ave
Wheat Ridge, CO 80033-5254

Phone

(303) 842-0367

Fax

(888) 382-8131

NPI assigned

Jan 19, 2017

Organization subpart

No

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

Authorized official

Name

Garret Rock, DC

Title

Partner

Phone

(303) 842-0367

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1043757776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 320",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015033",
            "telephone_number": "303-842-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 W 32ND AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335254",
            "telephone_number": "303-842-0367",
            "fax_number": "888-382-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER WEST PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "ROCK",
        "authorized_official_first_name": "GARRET",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "303-842-0367",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis H. Olson, MD, PC
• Dennis L Wack PH.D LLC
• Dentistry for Colorado Kids, PLLC
• Denver Family Therapy Center Inc
• Denver Family Therapy Center Inc
• Charles Anthony Depaolo III
• Gina M Depaulo
• Jenna Derosa, MA, LPC
• Louis Anthony Derose, DDS
• Tristen J Dervish, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.