Active NPI
Shawn Glazer, MD
- Family Medicine Physician
- Arvada, CO
National Provider Identifier
1265791198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37144
- Practice address
- 7450 W 52ND Ave # M130
Arvada, CO 80002-3747 - Phone
- (303) 271-3450
- NPI assigned
- May 12, 2012
- Last updated
- May 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 37144 | CO | Primary |
Addresses
Primary practice location
7450 W 52ND Ave # M130
Arvada, CO 80002-3747
Mailing address
7450 W 52ND Ave # M130
Arvada, CO 80002-3747
Phone (303) 271-3450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37144 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336780800000",
"number": "1265791198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 W 52ND AVE # M130",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023747",
"telephone_number": "303-271-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 W 52ND AVE # M130",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023747",
"telephone_number": "303-271-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-12",
"last_updated": "2012-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "37144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.