NPIMap

Organization Active NPI

Greenwood Dermatology Associates PC

  • Dermatology Physician
  • Greenwood Village, CO
National Provider Identifier
1609101369
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
GREENWOOD DERMATOLOGY ASSOCIATES PC
Practice address
7447 E Berry Ave
Suite 200
Greenwood Village, CO 80111-2146
Phone
(303) 758-1449
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Ann Leibold, M.D.
Title
Physician Owner
Phone
(303) 758-1449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7447 E Berry Ave
Suite 200
Greenwood Village, CO 80111-2146

Mailing address

7447 E Berry Ave
Suite 200
Greenwood Village, CO 80111-2146
Phone (303) 758-1449

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1609101369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE",
            "address_2": "SUITE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112146",
            "telephone_number": "303-758-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 E BERRY AVE",
            "address_2": "SUITE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112146",
            "telephone_number": "303-758-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD DERMATOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "LEIBOLD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "303-758-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.