Organization Active NPI

Denver West Pediatrics, PC

  • Primary Care Clinic/Center
  • Lakewood, CO
National Provider Identifier
1528064276
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DENVER WEST PEDIATRICS, PC
Practice address
13772 Denver West Pkwy
Ste 250
Lakewood, CO 80401-3196
Phone
(303) 216-0333
Fax
(303) 216-1511
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Mary Morin
Title
Office Manager
Phone
(303) 216-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

13772 Denver West Pkwy
Ste 250
Lakewood, CO 80401-3196

Mailing address

13772 Denver West Pkwy
Ste 250
Lakewood, CO 80401-3196
Phone (303) 216-0333

Other identifiers 1

IdentifierTypeStateIssuer
32525532MedicaidCO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D1004461Denver West Pediatrics PC13772 Denver West Parkway BLDG 55 #250, Golden, CO 80401Certificate of waiverMar 7, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1528064276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013196",
            "telephone_number": "303-216-0333",
            "fax_number": "303-216-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013196",
            "telephone_number": "303-216-0333",
            "fax_number": "303-216-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER WEST PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-216-0333"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32525532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.