Individual provider Active NPI

Cynthia S Classen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Castle Pines, CO
National Provider Identifier
1144238569
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
490 Issued in CO
Practice address
7505 Village Square Dr
Suite 101
Castle Pines, CO 80108-3692
Phone
(303) 805-5156
Fax
(303) 805-5157
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 490 CO Primary

Addresses

Primary practice location

7505 Village Square Dr
Suite 101
Castle Pines, CO 80108-3692

Mailing address

7505 Village Square Dr
Suite 101
Castle Pines, CO 80108-3692
Phone (303) 805-5156

Other identifiers 7

IdentifierTypeStateIssuer
480033568OtherCORRW MEDICARE
OB51983OtherCOHMO COLORADO
2700336OtherEVERCARE
OB51983OtherCOBCBS
84153666401OtherCOPACIFICARE
01004902MedicaidCO
3893610001OtherPALMETTO

Other names 1

  • Cynthia S Oberholtzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803001003 CO Practitioner - Podiatry 0446223036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
490COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates, Inc. Foot & Ankle Surgery CurrentSince Jan 2, 2002 Accepting new patients
Podiatry Associates Inc Foot & Ankle Surgery CurrentSince Nov 7, 2000 Accepting new patients
Total Foot and Ankle Clinic of Parker LLC Foot & Ankle Surgery Past Accepting new patients

Locations

7505 Village Square Dr
Ste 101
Castle Pines, CO 80108
Phone (303) 805-5156

2727 Bryant St
Ste 400
Denver, CO 80211
Phone (303) 805-5156

Interoperability endpoints

  • Direct secure messaging: c.oberholtzer-classen@757.chartlogic.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1144238569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 VILLAGE SQUARE DR",
            "address_2": "SUITE 101",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083692",
            "telephone_number": "303-805-5156",
            "fax_number": "303-805-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 VILLAGE SQUARE DR",
            "address_2": "SUITE 101",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083692",
            "telephone_number": "303-805-5156",
            "fax_number": "303-805-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASSEN",
        "first_name": "CYNTHIA",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MEDICARE",
            "identifier": "480033568",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO COLORADO",
            "identifier": "OB51983",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2700336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OB51983",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84153666401",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004902",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "3893610001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "OBERHOLTZER",
            "middle_name": "S",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castle Pines, CO

Sources for this page

Verify at the official NPI Registry.