Organization Active NPI

Colorado Family Clinic & Professional Recovery Inc

  • Addiction Medicine (Family Medicine) Physician
  • Wheat Ridge, CO
National Provider Identifier
1114692126
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY INC
Practice address
4990 Kipling St Ste B5
Wheat Ridge, CO 80033-6762
Phone
(303) 456-4882
NPI assigned
Aug 11, 2021
Organization subpart
Yes
Parent organization
COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Hector Lopez Frisbie
Title
Owner
Phone
(720) 899-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

4990 Kipling St Ste B5
Wheat Ridge, CO 80033-6762

Mailing address

4990 Kipling St Ste B5
Wheat Ridge, CO 80033-6762
Phone (303) 456-4882

National Provider Directory

National Provider Directory
Part of
Co Fam Clin Prof Recovery

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1114692126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST STE B5",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336762",
            "telephone_number": "303-456-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST STE B5",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336762",
            "telephone_number": "303-456-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ FRISBIE",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-899-3798"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.