Individual provider Active NPI

Christine Marie Maren, DO

  • Family Medicine Physician
  • Broomfield, CO
National Provider Identifier
1346475209
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0059833 Issued in CO
Practice address
8181 Arista PL Unit 100
Broomfield, CO 80021-7916
Phone
(303) 704-4487
Fax
(303) 351-1100
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101023313 MI
Family Medicine Physician 207Q00000X P0436 TX
Student in an Organized Health Care Education/Training Program 390200000X BPI 0034876 TX
Family Medicine Physician 207Q00000X DR.0059833 CO Primary

Addresses

Primary practice location

8181 Arista PL Unit 100
Broomfield, CO 80021-7916

Mailing address

8181 Arista PL Unit 100
Broomfield, CO 80021-7916
Phone (303) 704-4487

Other practice location 1

2222 W Grand River Ave Ste A
Okemos, MI 48864-1604
Phone (303) 704-4487

Other practice location 2

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (303) 704-4487

Other identifiers 3

IdentifierTypeStateIssuer
DR.0059833OtherCOSTATE MEDICAL LICENSE
5101023313OtherMISTATE MEDICAL LICENSE
P0436OtherTXSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0059833COMDFamily Medicine Physician
5101023313MIMDFamily Medicine Physician
P0436TXMDFamily Medicine Physician
BPI 0034876TXMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1346475209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 ARISTA PL UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800217916",
            "telephone_number": "303-704-4487",
            "fax_number": "303-351-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 ARISTA PL UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800217916",
            "telephone_number": "303-704-4487",
            "fax_number": "303-351-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 W Grand River Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641604",
            "country_code": "US",
            "telephone_number": "303-704-4487",
            "fax_number": "303-351-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "303-704-4487",
            "fax_number": "303-351-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAREN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101023313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P0436",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BPI 0034876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "DR.0059833",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "5101023313",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "P0436",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.