Organization Active NPI

Comprehensive Wellness Center

  • Internal Medicine Physician
  • Lakewood, CO
National Provider Identifier
1356670962
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37247 Issued in CO
Legal business name
COMPREHENSIVE WELLNESS CENTER
Practice address
5810 W Alameda Ave
110
Lakewood, CO 80226-3590
Phone
(303) 237-6163
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. John Wu, M.D.
Title
Medical Director
Phone
(303) 237-6163

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X ACU1238 CO
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 37247 CO Primary

Addresses

Primary practice location

5810 W Alameda Ave
110
Lakewood, CO 80226-3590

Mailing address

5810 W Alameda Ave
110
Lakewood, CO 80226-3590

Other identifiers 1

IdentifierTypeStateIssuer
49173570MedicaidCO

National Provider Directory

National Provider Directory

Locations

5810 W Alameda Ave
Ste 110
Lakewood, CO 80226
Phone (303) 237-6163

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1356670962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 W ALAMEDA AVE",
            "address_2": "110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 W ALAMEDA AVE",
            "address_2": "110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263590",
            "telephone_number": "303-237-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-237-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU1238",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "37247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49173570",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.