NPIMap

Organization Active NPI

Denver Recovery Group LLC

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1124894522
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DENVER RECOVERY GROUP LLC
Practice address
1801 W 13TH Ave
Denver, CO 80204-2407
Phone
(720) 616-0049
Fax
(303) 955-8830
NPI assigned
Nov 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Karla Chavez
Title
Billing Manager
Phone
(575) 993-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1801 W 13TH Ave
Denver, CO 80204-2407

Mailing address

1801 W 13TH Ave
Denver, CO 80204-2407
Phone (720) 616-0049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220315001010 CO Part B Supplier - Clinic/Group Practice 6406282748 Receives reassigned benefits from 1 practitioner
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Northglenn, CO; Montrose, CO; Colorado Springs, CO; Littleton, CO; Lakewood, CO; Denver, CO; Glenwood Springs, CO; Aurora, CO…

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Denver Recovery Group LLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1124894522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W 13TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042407",
            "telephone_number": "720-616-0049",
            "fax_number": "303-955-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 13TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042407",
            "telephone_number": "720-616-0049",
            "fax_number": "303-955-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "575-993-5225"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Nov 28, 2023; 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.