Active NPI
Robert L Shields MD PC
- Ophthalmology Physician
- Denver, CO
National Provider Identifier
1508990474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ROBERT L SHIELDS MD PC
- Practice address
- 850 E Harvard Ave
Suite 115
Denver, CO 80210-5073 - Phone
- (303) 777-3653
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L Shields, MD
- Title
- President
- Phone
- (303) 777-3653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
850 E Harvard Ave
Suite 115
Denver, CO 80210-5073
Mailing address
3464 S Willow St
Suite 094
Denver, CO 80231-4531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04685822 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
850 E Harvard Ave
Ste 115
Denver, CO 80210
Phone (303) 777-3653
3464 S Willow St
#94
Denver, CO 80231
3464 S Willow St
Ste 94
Denver, CO 80231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508990474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 S WILLOW ST",
"address_2": "SUITE 094",
"city": "DENVER",
"state": "CO",
"postal_code": "802314531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E HARVARD AVE",
"address_2": "SUITE 115",
"city": "DENVER",
"state": "CO",
"postal_code": "802105073",
"telephone_number": "303-777-3653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L SHIELDS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-777-3653",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04685822",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.