Organization Active NPI

David Erik Ouderkirk DPM PC

  • Podiatrist
  • Highlands Ranch, CO
National Provider Identifier
1073126173
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DAVID ERIK OUDERKIRK DPM PC
Practice address
9137 Ridgeline Blvd Ste 140
Highlands Ranch, CO 80129-2394
Phone
(303) 577-0110
Fax
(303) 577-0112
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
David Erik Ouderkirk, DPM
Title
Owner/Physician
Phone
(303) 577-0110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

9137 Ridgeline Blvd Ste 140
Highlands Ranch, CO 80129-2394

Mailing address

2373 Central Park Blvd
Ste 201
Denver, CO 80238-2300
Phone (303) 577-0110

Other names 1

  • Colorado Clinics for Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000600 CO Part B Supplier - Clinic/Group Practice 7719880491 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highlands Ranch, CO; Northglenn, CO; Denver, CO

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
David Erik Ouderkirk DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1400 Chambers Rd
Ste 2
Aurora, CO 80011
Phone (303) 577-0110

130 Rampart Way
Ste 130
Denver, CO 80230
Phone (303) 577-0110

9137 Ridgeline Blvd
Ste 140
Highlands Ranch, CO 80129
Phone (303) 378-5862

11310 Huron St
Ste 20
Northglenn, CO 80234
Phone (303) 577-0110

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1073126173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "STE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-577-0110",
            "fax_number": "303-577-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9137 RIDGELINE BLVD STE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292394",
            "telephone_number": "303-577-0110",
            "fax_number": "303-577-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ERIK OUDERKIRK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "OUDERKIRK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-577-0110",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Clinics for Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Clinics for Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.