Organization Active NPI

Dennis M. Weisbrod M.D., P.C.

  • Reproductive Endocrinology Physician
  • Denver, CO
National Provider Identifier
1316189152
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
17058 Issued in CO
Legal business name
DENNIS M. WEISBROD M.D., P.C.
Practice address
1601 E 19TH Ave
Suite 4200
Denver, CO 80218-1216
Phone
(303) 831-8344
Fax
(303) 861-8615
NPI assigned
Mar 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dennis Maurice Weisbrod, M.D.
Title
President/Owner
Phone
(303) 931-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 17058 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Suite 4200
Denver, CO 80218-1216

Mailing address

1601 E 19TH Ave
Suite 4200
Denver, CO 80218-1216
Phone (303) 831-8344

Other identifiers 2

IdentifierTypeStateIssuer
119478225MedicaidCO
04760088MedicaidCO

National Provider Directory

National Provider Directory

Locations

1601 E 19th Ave
Ste 4200
Denver, CO 80218
Phone (303) 831-8344

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1316189152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-831-8344",
            "fax_number": "303-861-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "address_2": "SUITE 4200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-831-8344",
            "fax_number": "303-861-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M. WEISBROD M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "WEISBROD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "303-931-9344",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CO",
            "license": "17058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119478225",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04760088",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.