NPIMap

Organization Active NPI

Developmental Disabilities Resource Cneter

  • Case Management Agency
  • Lakewood, CO
National Provider Identifier
1053432385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DEVELOPMENTAL DISABILITIES RESOURCE CNETER
Practice address
11177 W 8TH Ave Ste 300
Lakewood, CO 80215-5520
Phone
(303) 233-2363
Fax
(303) 233-0103
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Deherrera, CPA
Title
Cfo
Phone
(303) 462-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

11177 W 8TH Ave Ste 300
Lakewood, CO 80215-5520

Mailing address

11177 W 8TH Ave Ste 300
Lakewood, CO 80215-5520
Phone (303) 233-2363

Other identifiers 1

IdentifierTypeStateIssuer
09143470MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Developmental Disabilities Resource Center26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053432385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11177 W 8TH AVE STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155520",
            "telephone_number": "303-233-2363",
            "fax_number": "303-233-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11177 W 8TH AVE STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155520",
            "telephone_number": "303-233-2363",
            "fax_number": "303-233-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL DISABILITIES RESOURCE CNETER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHERRERA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-462-6511",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09143470",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.