David Archibald MD PC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

DR.0053492 Issued in CO

Legal business name

DAVID ARCHIBALD MD PC

Practice address

2352 Meadows Blvd
Suite 290
Castle Rock, CO 80109-8406

Phone

(303) 268-2222

Fax

(303) 268-2223

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David Jonas Archibald, M.D.NPI 1104041326

Title

Owner

Phone

(509) 315-6657

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Jonas Archibald, MD

  • Facial Plastic Surgery Physician
  • Castle Rock, CO
  • NPI 1104041326
  Medicare reassignment NPD Authorized official
• Paul H Rhee, M.D.

  • Specialist
  • Castle Rock, CO
  • NPI 1891784138
  NPD (past)

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1376955245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD",
            "address_2": "SUITE 290",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098406",
            "telephone_number": "303-268-2222",
            "fax_number": "303-268-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD",
            "address_2": "SUITE 290",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098406",
            "telephone_number": "303-268-2222",
            "fax_number": "303-268-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ARCHIBALD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-315-6657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CO",
            "license": "DR.0053492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95072349",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardmedicalspecialists@direct.vanguardmed.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Vanguard Medical Specialists LLC",
            "address_1": "9348 Grand Cordera Pkwy Ste 160",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809247023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Daly, PT,DPT
• Damiano Eye Consultants, PC
• Damiano Eye Consultants, PC
• Richard E Damiano, MD
• Kimberly Danish, FNP-C
• Davidson Counseling Services LLC
• Tamara Lynn Davidson, LCSW
• Angela Davis, CCC-SLP
• Donald Lee Davis
• Grace Davis

• Otolaryngology/Facial Plastic Surgery Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.