Organization Active NPI

Colorado Dermatology PC

  • Dermatology Physician
  • Highlands Ranch, CO
National Provider Identifier
1144697673
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0051289 Issued in CO
Legal business name
COLORADO DERMATOLOGY PC
Practice address
6660 Timberline Rd
Suite 140
Highlands Ranch, CO 80130-5345
Phone
(303) 683-3235
Fax
(303) 683-3236
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Ms. Tasha Denham
Title
Patient Coordinator
Phone
(303) 683-3235

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X DR.0051289 CO Primary
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X DR.0051289 CO
Pediatric Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NP0225X DR.0051289 CO
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X DR.0051289 CO

Addresses

Primary practice location

6660 Timberline Rd
Suite 140
Highlands Ranch, CO 80130-5345

Mailing address

6660 Timberline Rd
Suite 140
Highlands Ranch, CO 80130-5345
Phone (303) 683-3235

National Provider Directory

National Provider Directory

Locations

6660 Timberline Rd
Ste 140
Highlands Ranch, CO 80130
Phone (303) 683-3235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1144697673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 TIMBERLINE RD",
            "address_2": "SUITE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305345",
            "telephone_number": "303-683-3235",
            "fax_number": "303-683-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 TIMBERLINE RD",
            "address_2": "SUITE 140",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801305345",
            "telephone_number": "303-683-3235",
            "fax_number": "303-683-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "DENHAM",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "PATIENT COORDINATOR",
        "authorized_official_telephone_number": "303-683-3235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0051289",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "DR.0051289",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CO",
            "license": "DR.0051289",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "DR.0051289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.