Organization Active NPI

Judy Chiang LLC

  • MOHS-Micrographic Surgery Physician
  • Englewood, CO
National Provider Identifier
1245359405
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
JUDY CHIANG LLC
Practice address
601 E Hampden Ave
Suite 350
Englewood, CO 80113-3781
Phone
(303) 805-7686
Fax
(303) 805-7732
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Judy Chiang, MDNPI 1083727523
Title
Owner
Phone
(303) 788-1766

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)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X Primary

Addresses

Primary practice location

601 E Hampden Ave
Suite 350
Englewood, CO 80113-3781

Mailing address

PO Box 64
Englewood, CO 80151-0064
Phone (303) 805-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000512 CO Part B Supplier - Clinic/Group Practice 1052208378 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, CO

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
06D1042304Judy Chiang, LLC601 E Hampden Ave, Ste 350, Englewood, CO 80113ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

601 E Hampden Ave
Ste 540
Englewood, CO 80113
Phone (303) 788-1766

601 E Hampden Ave
Ste 350
Englewood, CO 80113
Phone (303) 788-1766

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1245359405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801510064",
            "telephone_number": "303-805-7686",
            "fax_number": "303-805-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E HAMPDEN AVE",
            "address_2": "SUITE 350",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133781",
            "telephone_number": "303-805-7686",
            "fax_number": "303-805-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY CHIANG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-788-1766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.