Organization Active NPI

Rocky Mountain Pediatric Endocrinology, PC

  • Pediatric Endocrinology Physician
  • Centennial, CO
National Provider Identifier
1144563511
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
40168 Issued in CO
Legal business name
ROCKY MOUNTAIN PEDIATRIC ENDOCRINOLOGY, PC
Practice address
7336 S Yosemite St
Suite 200
Centennial, CO 80112-2340
Phone
(720) 420-3636
Fax
(720) 420-3637
NPI assigned
Apr 3, 2013
Last updated
Nov 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Dr. Aristides K ManiatisNPI 1316045701
Title
President
Phone
(720) 420-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 40168 CO Primary

Addresses

Primary practice location

7336 S Yosemite St
Suite 200
Centennial, CO 80112-2340

Mailing address

7336 S Yosemite St
Suite 200
Centennial, CO 80112-2340
Phone (720) 420-3636

Other identifiers 1

IdentifierTypeStateIssuer
54486840MedicaidCO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2052574Rocky Mountain Pediatric Endocrinology PC7336 S Yosemite St Ste 200, Centennial, CO 80112Certificate of waiverJan 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1144563511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 S YOSEMITE ST",
            "address_2": "SUITE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122340",
            "telephone_number": "720-420-3636",
            "fax_number": "720-420-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 S YOSEMITE ST",
            "address_2": "SUITE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122340",
            "telephone_number": "720-420-3636",
            "fax_number": "720-420-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN PEDIATRIC ENDOCRINOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "MANIATIS",
        "authorized_official_first_name": "ARISTIDES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-420-3636",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CO",
            "license": "40168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54486840",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.