Organization Active NPI

Denver Urology Clinic, P.C.

  • Specialist
  • Denver, CO
National Provider Identifier
1356386221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DENVER UROLOGY CLINIC, P.C.
Practice address
4545 E 9TH Ave
Suite 480
Denver, CO 80220-3901
Phone
(303) 388-9321
Fax
(303) 388-3910
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shawna R Romero
Title
Practice Manager
Phone
(303) 388-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4545 E 9TH Ave
Suite 480
Denver, CO 80220-3901

Mailing address

4545 E 9TH Ave
Suite 480
Denver, CO 80220-3901
Phone (303) 388-9321

Other identifiers 1

IdentifierTypeStateIssuer
04724043MedicaidCO

National Provider Directory

National Provider Directory

Locations

4545 E 9th Ave
Ste 500
Denver, CO 80220
Phone (303) 322-8580

9195 Grant St
Ste 305
Thornton, CO 80229
Phone (303) 216-2661

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356386221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 480",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-388-9321",
            "fax_number": "303-388-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E 9TH AVE",
            "address_2": "SUITE 480",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203901",
            "telephone_number": "303-388-9321",
            "fax_number": "303-388-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER UROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "303-388-9321"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04724043",
            "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 Aug 22, 2020; 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.