Active NPI
David Lau, DO
- Family Medicine Physician
- Wheat Ridge, CO
National Provider Identifier
1255995486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0068741
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7000 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Services, PC | Family Medicine | Current | Accepting new patients |
| Inpatient Services, PC | Family Medicine | Current | Accepting new patients |
| Inpatient Services, PC | Family Medicine | Current | 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.
-
- Urgent Care Clinic/Center
- Tulsa, OK
- NPI 1003918830
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.