NPIMap

Organization Active NPI

South Denver Obstetrics & Gynecology PC

Doing business as South Denver OBGYN & Midwives

  • Obstetrics Physician
  • Littleton, CO
National Provider Identifier
1518926005
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
SOUTH DENVER OBSTETRICS & GYNECOLOGY PC
Doing business as
South Denver OBGYN & Midwives
Practice address
7780 S Broadway Ste 280
Littleton, CO 80122-2633
Phone
(303) 738-1100
Fax
(303) 738-1310
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Candice R Chacon-Jaramillo
Title
Credentialing Specialist
Phone
(720) 439-2456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

7780 S Broadway Ste 280
Littleton, CO 80122-2633

Mailing address

8055 E Tufts Ave Ste 230
Denver, CO 80237-2854
Phone (720) 439-2456

Other practice location 1

2352 Meadows Blvd Ste 255
Castle Rock, CO 80109-8417
Phone (303) 738-1100

Other identifiers 1

IdentifierTypeStateIssuer
04014965MedicaidCO

Other names 1

  • South Denver OBGYN & Midwives Doing business as

National Provider Directory

National Provider Directory

Locations

1189 S Perry St
Ste 230
Castle Rock, CO 80104
Phone (303) 688-3434

Practitioners & affiliated clinicians

Practitioners 4

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1518926005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 E TUFTS AVE STE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372854",
            "telephone_number": "720-439-2456",
            "fax_number": "720-572-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 280",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222633",
            "telephone_number": "303-738-1100",
            "fax_number": "303-738-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2352 Meadows Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098417",
            "country_code": "US",
            "telephone_number": "303-738-1100",
            "fax_number": "303-738-1310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH DENVER OBSTETRICS & GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CHACON-JARAMILLO",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-439-2456"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04014965",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Denver OBGYN & Midwives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.