Organization Active NPI

Colorado Center for Bone Research, P.C.

  • Nephrology Physician
  • Lakewood, CO
National Provider Identifier
1609054089
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18842 Issued in CO
Legal business name
COLORADO CENTER FOR BONE RESEARCH, P.C.
Practice address
3190 S Wadsworth Blvd
250
Lakewood, CO 80227-4899
Phone
(303) 980-9985
Fax
(303) 980-1367
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Paul D Miller, M.D.
Title
President
Phone
(303) 980-9985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 18842 CO Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 46158 CO

Addresses

Primary practice location

3190 S Wadsworth Blvd
250
Lakewood, CO 80227-4899

Mailing address

3190 S Wadsworth Blvd
250
Lakewood, CO 80227-4899
Phone (303) 980-9985

Other identifiers 1

IdentifierTypeStateIssuer
04016341MedicaidCO

National Provider Directory

National Provider Directory

Locations

3190 S Wadsworth Blvd
Ste 250
Lakewood, CO 80227
Phone (303) 904-0976

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1609054089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 S WADSWORTH BLVD",
            "address_2": "250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274899",
            "telephone_number": "303-980-9985",
            "fax_number": "303-980-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 S WADSWORTH BLVD",
            "address_2": "250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802274899",
            "telephone_number": "303-980-9985",
            "fax_number": "303-980-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CENTER FOR BONE RESEARCH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-980-9985",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "18842",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "46158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04016341",
            "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 Aug 6, 2013; 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.