Individual provider Active NPI

David Lau, DO

  • Family Medicine Physician
  • Wheat Ridge, CO
National Provider Identifier
1255995486
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0068741 Issued in CO
Practice address
4015 Holland St
Wheat Ridge, CO 80033-4240
Phone
(925) 391-5603
NPI assigned
Apr 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0068741 CO Primary

Addresses

Primary practice location

4015 Holland St
Wheat Ridge, CO 80033-4240

Mailing address

4015 Holland St
Wheat Ridge, CO 80033-4240
Phone (925) 391-5603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104000559 CO Practitioner - Family Practice 8325459001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7000OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Services, PC Family Medicine Current Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Inpatient Services, PC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
St. John Physicians, Inc. Family Medicine Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1255995486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 HOLLAND ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334240",
            "telephone_number": "925-391-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 HOLLAND ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334240",
            "telephone_number": "925-391-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0068741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.