Organization Active NPI

Skincare Colorado PC

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1104018704
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44212 Issued in CO
Legal business name
SKINCARE COLORADO PC
Practice address
4545 E 9TH Ave Ste 420
Denver, CO 80220-3904
Phone
(303) 586-7768
Fax
(303) 957-3098
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Nancy Krywonis, M.D.
Title
M.D.
Phone
(303) 596-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 44212 CO Primary

Addresses

Primary practice location

4545 E 9TH Ave Ste 420
Denver, CO 80220-3904

Mailing address

4545 E 9TH Ave Ste 420
Denver, CO 80220-3904
Phone (303) 586-7768

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
Ste 579
Denver, CO 80231

4545 E 9th Ave
Ste 420
Denver, CO 80220
Phone (303) 320-2121

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1104018704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203904",
            "telephone_number": "303-586-7768",
            "fax_number": "303-957-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE STE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203904",
            "telephone_number": "303-586-7768",
            "fax_number": "303-957-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINCARE COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "KRYWONIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "303-596-7768",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "44212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.