Roots Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROOTS MEDICAL, LLC

Practice address

6091 S Quebec St
Suite 200
Centennial, CO 80111

Phone

(720) 390-5148

Fax

(720) 729-0108

NPI assigned

Mar 5, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Norman Dark

Title

Office Manager

Phone

(720) 729-0108

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Loretha Dark, FNP

  • Nurse Practitioner
  • Centennial, CO
  • NPI 1972889319
  NPD (past)

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1063805752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6091 S QUEBEC ST",
            "address_2": "SUITE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "720-390-5148",
            "fax_number": "720-729-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 S QUEBEC ST",
            "address_2": "SUITE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "720-390-5148",
            "fax_number": "720-729-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "DARK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "720-729-0108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Romo
• Seth Romo
• Ronald a McLean MD PC
• Deborah Fitzgerald Roos, O.D.
• Rooting for Mom, Inc.
• Cynthia J Rosa, MA, LPC, ATR, CACIII
• Emma Rosa, LCSW
• Carol M Rosckowff, MD
• Amy Marie Roscoe
• Barbara Rose, MD

• Family Medicine Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.