Active NPI
Denver Diagnostic Pain Corporation
- Pain Medicine (Anesthesiology) Physician
- Littleton, CO
National Provider Identifier
1124566955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 51092
- 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
- Last updated
- Mar 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Rentz
- Title
- Practice Manager
- Phone
- (303) 801-8414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 51092 | CO | Primary |
Addresses
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
13402 W Coal Mine Ave
Ste 240A
Littleton, CO 80127
Phone (720) 598-0805
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood Village, CO
- NPI 1033300140
-
- Surgical Physician Assistant
- Golden, CO
- NPI 1609047851
-
- Orthopaedic Surgery Physician
- Greenwood Village, CO
- NPI 1083672570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": [],
"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.