Organization Active NPI

Denver Diagnostic Pain Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Littleton, CO
National Provider Identifier
1124566955
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
51092 Issued in CO
Legal business name
DENVER DIAGNOSTIC PAIN CORPORATION
Practice address
13402 W Coal Mine Ave
Ste240
Littleton, CO 80127-5407
Phone
(720) 598-0805
Fax
(720) 606-2905
NPI assigned
Jan 31, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carrie Rentz
Title
Practice Manager
Phone
(303) 801-8414

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 5

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20171003005778 CO Part B Supplier - Clinic/Group Practice 1254606163 Receives reassigned benefits from 3 practitioners
Practice locations: Greenwood Village, CO; Littleton, CO

National Provider Directory

National Provider Directory

Locations

11 W Dry Creek Cir
Littleton, CO 80120
Phone (303) 738-8700

13402 W Coal Mine Ave
Ste 240A
Littleton, CO 80127
Phone (720) 598-0805

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 51092 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

13402 W Coal Mine Ave
Ste240
Littleton, CO 80127-5407

Mailing address

7800 E Orchard Rd
Ste 350
Greenwood Village, CO 80111-2583
Phone (720) 598-0805

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
83325778MedicaidCO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2017.

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1124566955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 E ORCHARD RD",
            "address_2": "STE 350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112583",
            "telephone_number": "720-598-0805",
            "fax_number": "720-606-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 W COAL MINE AVE",
            "address_2": "STE240",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275407",
            "telephone_number": "720-598-0805",
            "fax_number": "720-606-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER DIAGNOSTIC PAIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "RENTZ",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-801-8414"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "51092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83325778",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.