Christ Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHRIST CLINIC INC

Practice address

3920 S Shields St
Fort Collins, CO 80526-3015

Phone

(970) 481-2390

Fax

(888) 801-1712

NPI assigned

Apr 3, 2017

Last updated

Apr 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Edward Simmons, MD

Title

President

Phone

(970) 214-7419

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason A. Chen, DO

  • Family Medicine Physician
  • Denver, CO
  • NPI 1750540829
  NPD
• Kate C Odenwald, RN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Lone Tree, CO
  • NPI 1336441021
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1265964704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S SHIELDS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263015",
            "telephone_number": "970-481-2390",
            "fax_number": "888-801-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S SHIELDS ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805263015",
            "telephone_number": "970-481-2390",
            "fax_number": "888-801-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-214-7419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Thuy Thi Chiu, MD
• Choice City Drug, Inc (city drug)
• Choice City Physical Therapy
• Choice Dental Care, LLC
• Chrismo, Inc. (Fossil Creek Chiropractic)
• Billie J Christ, MS
• Olivia Louella Christen, RN
• Chad L Christensen, DO
• Garrett Christensen
• Joseph Logue Christenson, MD

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.