Active NPI
Presken Family Care PC
- Family Medicine Physician
- Centennial, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 42711
- Legal business name
- PRESKEN FAMILY CARE PC
- Practice address
- 20971 E Smoky Hill Rd
Suite 107
Centennial, CO 80015-5186 - Phone
- (720) 556-2001
- NPI assigned
- Jan 9, 2015
- 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
- Dr. Deborah Shira Presken, M.D.
- Title
- Physician Owner
- Phone
- (720) 556-2001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 42711 | CO | Primary |
Addresses
Primary practice location
20971 E Smoky Hill Rd
Suite 107
Centennial, CO 80015-5186
Mailing address
20971 E Smoky Hill Rd
Suite 107
Centennial, CO 80015-5186
Phone (720) 556-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44120265 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13111 E Briarwood Ave
Ste 360
Centennial, CO 80112
Phone (720) 556-2001
20971 E Smoky Hill Rd
Ste 107
Centennial, CO 80015
Phone (720) 556-2001
Interoperability endpoints
- https://api.platform.athenahealth.com/10547/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Aurora, CO
- NPI 1700074846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1134518467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20971 E SMOKY HILL RD",
"address_2": "SUITE 107",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155186",
"telephone_number": "720-556-2001",
"fax_number": "720-489-3731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20971 E SMOKY HILL RD",
"address_2": "SUITE 107",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800155186",
"telephone_number": "720-556-2001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESKEN FAMILY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-09",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "PRESKEN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "SHIRA",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "720-556-2001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "42711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44120265",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
- Precision Therapy, PC
- Preferred Provider Services
- Premier Allergy & Asthma, P.C.
- Premise Health of Colorado Medical PC
- Patrick T Prendergast, DDS
- Kelly Michelle Prestia, MS ED OTR
- Julie Preston Schilling, LCSW
- Cheryl L Prevendar Zuber, PSYD, MAPC, CAGS, MA
- Preventive Health Now, LLC
- Derrick Quentin Price, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.