Organization Active NPI

Children's Wellness Center of Colorado, PLLC

  • Pediatrics Physician
  • Centennial, CO
National Provider Identifier
1255906541
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S WELLNESS CENTER OF COLORADO, PLLC
Practice address
12150 E Briarwood Ave Unit 202
Centennial, CO 80112-6755
Phone
(720) 662-7862
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Christine Werner Garcia
Title
Coowner
Phone
(720) 662-7862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

12150 E Briarwood Ave Unit 202
Centennial, CO 80112-6755

Mailing address

12150 E Briarwood Ave Unit 202
Centennial, CO 80112-6755

Other practice location 1

2220 Curve Plaza, Suite 203
Steamboat Springs, CO 80487
Phone (720) 662-7862

Other identifiers 1

IdentifierTypeStateIssuer
18135099MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwcc@cwccolorado.hush.com

National Provider Directory

National Provider Directory
Tax ID family
Children's Wellness Center of Colorado PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2220 Curve Plz
Ste 203
Steamboat Springs, CO 80487
Phone (720) 662-7862

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1255906541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 E BRIARWOOD AVE UNIT 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 E BRIARWOOD AVE UNIT 202",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126755",
            "telephone_number": "720-662-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Curve Plaza, Suite 203",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "80487",
            "country_code": "US",
            "telephone_number": "720-662-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S WELLNESS CENTER OF COLORADO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "WERNER",
        "authorized_official_title_or_position": "COOWNER",
        "authorized_official_telephone_number": "720-662-7862"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18135099",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwcc@cwccolorado.hush.com",
            "affiliation": "N",
            "address_1": "12150 E Briarwood Ave Unit 202",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801126755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 20, 2021; 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.