Organization Active NPI

Saddle Rock Family Practice PC

Doing business as Saddle Rock Family Practice

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1447395553
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
927 Issued in CO
Legal business name
SADDLE ROCK FAMILY PRACTICE PC
Doing business as
Saddle Rock Family Practice
Practice address
19641 E Parker Square Dr
Suite a
Parker, CO 80134-7399
Phone
(303) 406-0080
Fax
(303) 805-7289
NPI assigned
Feb 20, 2007
Last updated
Nov 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Kristin Jacobs
Title
Front Desk Lead
Phone
(303) 406-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 927 CO Primary

Addresses

Primary practice location

19641 E Parker Square Dr
Suite a
Parker, CO 80134-7399

Mailing address

19641 E Parker Square Dr
Suite a
Parker, CO 80134-7399
Phone (303) 406-0080

Other names 1

  • SADDLE ROCK FAMILY PRACTICE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1447395553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DR",
            "address_2": "SUITE A",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347399",
            "telephone_number": "303-406-0080",
            "fax_number": "303-805-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19641 E PARKER SQUARE DR",
            "address_2": "SUITE A",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347399",
            "telephone_number": "303-406-0080",
            "fax_number": "303-805-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLE ROCK FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "FRONT DESK LEAD",
        "authorized_official_telephone_number": "303-406-0080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SADDLE ROCK FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.