Organization Active NPI

Denver Regional Oncology Medical Group, LLC

Doing business as Advanced Cancer Care of Colorado

  • Radiation Oncology Physician
  • Greenwood Village, CO
National Provider Identifier
1457723553
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
DENVER REGIONAL ONCOLOGY MEDICAL GROUP, LLC
Doing business as
Advanced Cancer Care of Colorado
Practice address
5275 DTC Pkwy
Greenwood Village, CO 80111-2772
Phone
(720) 214-6500
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Nicki G. McKnight, CHC
Title
Compliance Director
Phone
(949) 385-5012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

5275 DTC Pkwy
Greenwood Village, CO 80111-2772

Mailing address

28812 Weybridge Dr
Westlake, OH 44145-6747
Phone (216) 265-4580

Other names 1

  • Advanced Cancer Care of Colorado Doing business as

National Provider Directory

National Provider Directory

Locations

1644 Medical Center Pt
Ste 100
Colorado Springs, CO 80907
Phone (719) 247-5500

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1457723553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28812 WEYBRIDGE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456747",
            "telephone_number": "216-265-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 DTC PKWY",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112772",
            "telephone_number": "720-214-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER REGIONAL ONCOLOGY MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "NICKI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "949-385-5012",
        "authorized_official_credential": "CHC"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cancer Care of Colorado",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.