Cherry Creek Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CHERRY CREEK MEDICAL GROUP

Practice address

155 S Madison St Ste 324
Denver, CO 80209-3099

Phone

(303) 882-4113

Fax

(303) 321-0663

NPI assigned

Mar 13, 2019

Organization subpart

No

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

Authorized official

Name

Tarryn Farrell

Title

Cfo

Phone

(970) 631-4173

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1316406978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S MADISON ST STE 324",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093099",
            "telephone_number": "303-882-4113",
            "fax_number": "303-321-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S MADISON ST STE 324",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093099",
            "telephone_number": "303-882-4113",
            "fax_number": "303-321-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "TARRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "970-631-4173"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Creek Collective for Mental Health LLC
• Cherry Creek Dental Partners (comfort dental cherry creek)
• Cherry Creek Eye Physicians &
• Cherry Creek Family Practice
• Cherry Creek Family Practice PLLC
• Cherry Creek Neurology (Ament Headache Center)
• Cherry Creek Nutrition
• Cherry Creek Optical
• Cherry Creek Oral & Maxillofacial Surgery, PC
• Cherry Creek Pediatrics, PC

• Multi-Specialty Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.