Pediaclinic LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIACLINIC LLC

Practice address

3911 Ambrosia St Ste 100
Castle Rock, CO 80109-3887

Phone

(303) 302-3879

Fax

(720) 325-2327

NPI assigned

Jan 26, 2024

Organization subpart

Yes

Parent organization

PEDIACLINICAs reported in NPPES

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

Authorized official

Name

Daniel James Feiten, MDNPI 1437221942

Title

Manager

Phone

(303) 981-1494

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Pediaclinic LLC2 organizations share this tax ID, including this one

Part of

Pediaclinic LLC

Other organizations with this tax ID 1

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

• Pediaclinic LLC

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1851866180
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediaclinic LLC

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1851866180
  NPPES parent name

Practitioners 2

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

• Daniel J Feiten, MD

  • Pediatric Adolescent Medicine Physician
  • Centennial, CO
  • NPI 1437221942
  NPD Authorized official
• Sarah Carlson Yost, CPNP-PC

  • Pediatrics Physician
  • Highlands Ranch, CO
  • NPI 1831753300

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1194587964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 S UNIVERSITY BLVD UNIT 102",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801268114",
            "telephone_number": "303-302-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AMBROSIA ST STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093887",
            "telephone_number": "303-302-3879",
            "fax_number": "720-325-2327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9555 S University Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801268114",
            "country_code": "US",
            "telephone_number": "303-302-3879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIACLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIACLINIC",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "FEITEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-981-1494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1851866180",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179794",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.