Active NPI
Dr. Willard'S Family Practice, P.C.
- Family Medicine Physician
- Centennial, CO
National Provider Identifier
1598162174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30373
- Legal business name
- DR. WILLARD'S FAMILY PRACTICE, P.C.
- Practice address
- 14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4028 - Phone
- (303) 699-3190
- Fax
- (303) 699-3189
- NPI assigned
- Nov 26, 2014
- 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
- Dr. John R. Willard, D.O.
- Title
- Solo Practicitioner
- Phone
- (303) 699-3190
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30373 | CO | Primary |
Addresses
Primary practice location
14100 E Arapahoe Rd
Suite 170
Centennial, CO 80112-4028
Mailing address
14100 E. Arapahoe Rd.
Suite 170
Centennial, CO 80112-4048
Phone (303) 699-3190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14100 E Arapahoe Rd
Ste 170
Centennial, CO 80112
Phone (303) 699-3190
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Centennial, CO
- NPI 1528124369
-
- Neuromusculoskeletal Medicine & OMM Physician
- Centennial, CO
- NPI 1073641049
-
- Medical Physician Assistant
- Centennial, CO
- NPI 1194305037
-
- Family Medicine Physician
- Centennial, CO
- NPI 1114055944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416960000000",
"number": "1598162174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 E. ARAPAHOE RD.",
"address_2": "SUITE 170",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124048",
"telephone_number": "303-699-3190",
"fax_number": "303-699-3189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 E ARAPAHOE RD",
"address_2": "SUITE 170",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801124028",
"telephone_number": "303-699-3190",
"fax_number": "303-699-3189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. WILLARD'S FAMILY PRACTICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A",
"authorized_official_last_name": "WILLARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "SOLO PRACTICITIONER",
"authorized_official_telephone_number": "303-699-3190",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CO",
"license": "30373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.