Colorado Professional Recovery Inc.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

37144 Issued in CO

Legal business name

COLORADO PROFESSIONAL RECOVERY INC.

Practice address

4990 Kipling St
Suite B-5
Wheat Ridge, CO 80033-6762

Phone

(303) 456-4882

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Leonard Solano, D.C.

Title

VP of Operations

Phone

(303) 456-4882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1376949867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST",
            "address_2": "SUITE B-5",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336762",
            "telephone_number": "303-456-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST",
            "address_2": "SUITE B-5",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336762",
            "telephone_number": "303-456-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PROFESSIONAL RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "SOLANO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "303-456-4882",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "37144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Family Medicine) Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Addiction Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.