Organization Active NPI

David Erik Ouderkirk DPM PC

  • Podiatrist
  • Denver, CO
National Provider Identifier
1497799241
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
DAVID ERIK OUDERKIRK DPM PC
Practice address
2373 Central Park Blvd
Suite 201
Denver, CO 80238-2300
Phone
(303) 577-0110
Fax
(303) 577-0112
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Mr. David Erik Ouderkirk, DPMNPI 1659306579
Title
President
Phone
(303) 577-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

2373 Central Park Blvd
Suite 201
Denver, CO 80238-2300

Mailing address

2373 Central Park Blvd
Suite 201
Denver, CO 80238-2300
Phone (303) 577-0110

Other identifiers 2

IdentifierTypeStateIssuer
84403560MedicaidCO
DA3705OtherCORAILROAD MEDICARE

Other names 1

  • Colorado Clinics for Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040302000600 CO Part B Supplier - Clinic/Group Practice 7719880491 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Highlands Ranch, CO; Northglenn, CO; Denver, CO
O20100930059798 CO DME Supplier - Physician - Podiatry 7719880491 Practice locations: Denver, CO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2373 Central Park Blvd
Unit 201
Denver, CO 80238
Phone (303) 577-0110

3464 S Willow St
#138
Denver, CO 80231

3464 S Willow St
Ste 138
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1497799241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-577-0110",
            "fax_number": "303-577-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD",
            "address_2": "SUITE 201",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "303-577-0110",
            "fax_number": "303-577-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ERIK OUDERKIRK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "OUDERKIRK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-577-0110",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84403560",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA3705",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Clinics for Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.