NPIMap

Organization Active NPI

Denver Recovery Group LLC

  • Methadone Clinic
  • Northglenn, CO
National Provider Identifier
1376215681
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
DENVER RECOVERY GROUP LLC
Practice address
11658 Huron St
Northglenn, CO 80234-2919
Phone
(303) 953-2299
Fax
(303) 953-8830
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Karla Chavez
Title
Billing Manager
Phone
(575) 993-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU Primary

Addresses

Primary practice location

11658 Huron St
Northglenn, CO 80234-2919

Mailing address

2822 E Colfax Ave
Denver, CO 80206-1507
Phone (303) 953-2299

Other identifiers 2

IdentifierTypeStateIssuer
1776-06OtherCOSUD LICENSE
290OtherCOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200205002501 CO Part B Supplier - Opioid Treatment Program (Otp) 6406282748 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Durango, CO; Northglenn, CO; Montrose, CO; Littleton, CO; Lakewood, CO; Glenwood Springs, CO; Denver, CO; Colorado Springs, CO…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Denver Recovery Group LLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1376215681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061507",
            "telephone_number": "303-953-2299",
            "fax_number": "303-953-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11658 HURON ST",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342919",
            "telephone_number": "303-953-2299",
            "fax_number": "303-953-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "575-993-5225"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUD LICENSE",
            "identifier": "1776-06",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.