Organization Active NPI

Lakewood Injury Treatment Center Inc

  • Family Medicine Physician
  • Lakewood, CO
National Provider Identifier
1083000996
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0027638 Issued in CO
Legal business name
LAKEWOOD INJURY TREATMENT CENTER INC
Practice address
605 Parfet St
Suite 104
Lakewood, CO 80215-5576
Phone
(303) 330-0024
Fax
(303) 232-1798
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Monique M Weerman
Title
Coo
Phone
(303) 330-0024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0027638 CO Primary

Addresses

Primary practice location

605 Parfet St
Suite 104
Lakewood, CO 80215-5576

Mailing address

2 W Dry Creek Cir
Suite 100
Littleton, CO 80120-8068
Phone (303) 734-7142

National Provider Directory

National Provider Directory

Locations

605 Parfet St
Ste 104
Lakewood, CO 80215
Phone (303) 330-0024

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1083000996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W DRY CREEK CIR",
            "address_2": "SUITE 100",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208068",
            "telephone_number": "303-734-7142",
            "fax_number": "303-734-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PARFET ST",
            "address_2": "SUITE 104",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155576",
            "telephone_number": "303-330-0024",
            "fax_number": "303-232-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD INJURY TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "WEERMAN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-330-0024"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0027638",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 9, 2015; 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.