Family Care Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

17154 Issued in CO

Legal business name

FAMILY CARE MEDICAL CENTER, INC.

Practice address

1340 Leyden St
Denver, CO 80220-2805

Phone

(303) 320-8686

Fax

(303) 320-1828

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Aris Michael Sophocles Jr., MD

Title

President

Phone

(303) 320-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1083859466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202805",
            "telephone_number": "303-320-8686",
            "fax_number": "303-320-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202805",
            "telephone_number": "303-320-8686",
            "fax_number": "303-320-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "SOPHOCLES",
        "authorized_official_first_name": "ARIS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-320-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "17154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04002259",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Dentistry
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• Family Medicine Physician in Denver, CO
• Providers in Denver, 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 Dec 12, 2008; 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.