Organization Active NPI

Leslie R Capin MD PC

Doing business as Dermatology Associates of Colorado PC

  • Dermatology Physician
  • Aurora, CO
National Provider Identifier
1619916079
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LESLIE R CAPIN MD PC
Doing business as
Dermatology Associates of Colorado PC
Practice address
13701 E Mississippi Ave
Suite 320
Aurora, CO 80012-6141
Phone
(303) 340-3378
Fax
(303) 340-3409
NPI assigned
Jun 4, 2006
Last updated
Jul 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Leslie R Capin, MD
Title
President
Phone
(303) 340-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

13701 E Mississippi Ave
Suite 320
Aurora, CO 80012-6141

Mailing address

3464 S Willow St
Suite 060
Denver, CO 80231-4531
Phone (303) 755-2900

Other identifiers 3

IdentifierTypeStateIssuer
04011102MedicaidCO
CJ7354OtherCORAILROAD MEDICARE
AUA3308OtherCOBLUE SHIELD

Other names 1

  • Dermatology Associates of Colorado PC Doing business as

National Provider Directory

National Provider Directory

Locations

13701 E Mississippi Ave
Ste 320
Aurora, CO 80012
Phone (303) 340-3378

3464 S Willow St
#60
Denver, CO 80231

3464 S Willow St
Ste 60
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1619916079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S WILLOW ST",
            "address_2": "SUITE 060",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314531",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 E MISSISSIPPI AVE",
            "address_2": "SUITE 320",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800126141",
            "telephone_number": "303-340-3378",
            "fax_number": "303-340-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE R CAPIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "CAPIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-340-3378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04011102",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ7354",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "AUA3308",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Colorado PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.