NPIMap

Organization Active NPI

Arvada Pediatric Associates, PC

Doing business as Arvada Pediatric Associate North

  • Pediatrics Physician
  • Broomfield, CO
National Provider Identifier
1598433401
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ARVADA PEDIATRIC ASSOCIATES, PC
Doing business as
Arvada Pediatric Associate North
Practice address
3830 W 121St PL
Broomfield, CO 80020-7921
Phone
(303) 410-8041
Fax
(303) 410-8044
NPI assigned
Sep 3, 2021
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ARVADA PEDIATRIC ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Veronica Spence
Title
Practice Administrator
Phone
(303) 421-6873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3830 W 121St PL
Broomfield, CO 80020-7921

Mailing address

3830 W 121St PL
Broomfield, CO 80020-7921
Phone (303) 410-8041

Other names 1

  • Arvada Pediatric Associate North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arvada Pediatric Associates PC2 organizations share this tax ID, including this one
Part of
Arvada Pediatric Associates PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3830 W 121st Pl
Broomfield, CO 80020
Phone (303) 410-8041

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1598433401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041",
            "fax_number": "303-410-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 W 121ST PL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207921",
            "telephone_number": "303-410-8041",
            "fax_number": "303-410-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARVADA PEDIATRIC ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARVADA PEDIATRIC ASSOCIATES, P.C.",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-421-6873"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arvada Pediatric Associate North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.