Organization Active NPI

Sunrise Family Practice PLLC

  • Family Medicine Physician
  • Littleton, CO
National Provider Identifier
1376642363
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41131 Issued in CO
Legal business name
SUNRISE FAMILY PRACTICE PLLC
Practice address
10268 W Centennial Rd
Ste 104
Littleton, CO 80127
Phone
(303) 738-5808
NPI assigned
Sep 22, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Nicole Elaine Hoffman, DO
Title
Manager
Phone
(303) 738-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 41131 CO Primary

Addresses

Primary practice location

10268 W Centennial Rd
Ste 104
Littleton, CO 80127

Mailing address

10268 W Centennial Rd
Ste 104
Littleton, CO 80127
Phone (303) 738-5808

Other identifiers 1

IdentifierTypeStateIssuer
90170547MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1376642363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10268 W CENTENNIAL RD",
            "address_2": "STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80127",
            "telephone_number": "303-738-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10268 W CENTENNIAL RD",
            "address_2": "STE 104",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80127",
            "telephone_number": "303-738-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-738-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90170547",
            "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 Apr 22, 2008; 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.