NPIMap

Organization Active NPI

Littleton Pediatric Medical Center

  • Pediatrics Physician
  • Littleton, CO
National Provider Identifier
1356974356
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LITTLETON PEDIATRIC MEDICAL CENTER
Practice address
8340 Sangre de Cristo Rd
Littleton, CO 80127-4248
Phone
(303) 979-1234
Fax
(303) 791-2778
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Terri L Woolard
Title
Business Office Manager
Phone
(303) 791-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

8340 Sangre de Cristo Rd
Littleton, CO 80127-4248

Mailing address

206 W County Line Rd Ste 110
Highlands Ranch, CO 80129-2319
Phone (303) 791-9999

Other identifiers 1

IdentifierTypeStateIssuer
1356974356MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Littleton Pediatric Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8340 Sangre de Cristo Rd
Littleton, CO 80127
Phone (303) 791-9999

Practitioners & affiliated clinicians

Practitioners 10

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1356974356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD STE 110",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292319",
            "telephone_number": "303-791-9999",
            "fax_number": "303-791-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 SANGRE DE CRISTO RD",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801274248",
            "telephone_number": "303-979-1234",
            "fax_number": "303-791-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLETON PEDIATRIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "WOOLARD",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "303-791-9999"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356974356",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.