Individual provider Active NPI

Chad Botz, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Aurora, CO
National Provider Identifier
1275731614
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
Q5356 Issued in TX
Practice address
13001 East 17TH Place
Fitzsimons Building Suite E3360, Campus Box B119
Aurora, CO 80045-0001
Phone
(913) 530-7576
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 53283 MN
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X Q5356 TX Primary

Addresses

Primary practice location

13001 East 17TH Place
Fitzsimons Building Suite E3360, Campus Box B119
Aurora, CO 80045-0001

Mailing address

418 Pine Ridge Dr
Salina, KS 67401-3864
Phone (913) 530-7576

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

LicenseStateTypeSpecialty
Q5356TXMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1275731614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PINE RIDGE DR",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013864",
            "telephone_number": "913-530-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 EAST 17TH PLACE",
            "address_2": "FITZSIMONS BUILDING SUITE E3360, CAMPUS BOX B119",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800450001",
            "telephone_number": "913-530-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTZ",
        "first_name": "CHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MN",
            "license": "53283",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TX",
            "license": "Q5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.