MVC Colorado PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MVC COLORADO PC

Practice address

6795 E Tennessee Ave Ste 175
Denver, CO 80224-1646

Phone

(303) 690-4882

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Kaitlyn Durvin

Title

Project Associate

Phone

(855) 874-4999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1598390247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HARTWELL ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 175",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241646",
            "telephone_number": "303-690-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVC COLORADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "DURVIN",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_title_or_position": "PROJECT ASSOCIATE",
        "authorized_official_telephone_number": "855-874-4999"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Denver, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.