Individual provider Active NPI

Daniel Anthony Taylor, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1629549407
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0006086 Issued in CO
Practice address
5250 Leetsdale Dr Ste 300
Denver, CO 80246-1451
Phone
(303) 393-8050
Fax
(303) 320-1953
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X PA0006086 CO
Medical Physician Assistant 363AM0700X PA.0006086 CO Primary

Addresses

Primary practice location

5250 Leetsdale Dr Ste 300
Denver, CO 80246-1451

Mailing address

5250 Leetsdale Dr Ste 300
Denver, CO 80246-1451
Phone (303) 393-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316001451 CO Practitioner - Physician Assistant 1052749520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

5250 Leetsdale Dr
Suite 300
Denver, CO 80246-1451
Phone (303) 393-8050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0006086COMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Nov 1, 2021 Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 Accepting new patients

Locations

5250 Leetsdale Dr
Ste 300
Denver, CO 80246
Phone (303) 393-8050

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1629549407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461451",
            "telephone_number": "303-393-8050",
            "fax_number": "303-320-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LEETSDALE DR STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461451",
            "telephone_number": "303-393-8050",
            "fax_number": "303-320-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DANIEL",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CO",
            "license": "PA0006086",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0006086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.