Organization Active NPI

Denver Regenerative Health Institute PC

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1639610397
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DENVER REGENERATIVE HEALTH INSTITUTE PC
Practice address
6825 S Galena St Ste 200
Centennial, CO 80112-3630
Phone
(303) 741-0990
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Tamara Johnson
Title
Owner
Phone
(303) 741-0990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6825 S Galena St Ste 200
Centennial, CO 80112-3630

Mailing address

6825 S Galena St Ste 200
Centennial, CO 80112-3630
Phone (303) 741-0990

Other practice location 1

6825 S Galena St Ste 200
Centennial, CO 80112
Phone (303) 741-0990

Other practice location 2

6854 S Dallas Way
Greenwood Village, CO 80112-3621
Phone (303) 741-0990

Other practice location 3

8510 Bryant St Ste 140
Westminster, CO 80031-3845
Phone (720) 531-3976

National Provider Directory

National Provider Directory

Locations

6854 S Dallas Way
Greenwood Village, CO 80112
Phone (303) 741-0990

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1639610397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123630",
            "telephone_number": "303-741-0990",
            "fax_number": "303-741-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 S GALENA ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123630",
            "telephone_number": "303-741-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6825 S Galena St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "80112",
            "country_code": "US",
            "telephone_number": "303-741-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6854 S Dallas Way",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801123621",
            "country_code": "US",
            "telephone_number": "303-741-0990",
            "fax_number": "303-741-0991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8510 Bryant St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800313845",
            "country_code": "US",
            "telephone_number": "720-531-3976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENVER REGENERATIVE HEALTH INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-741-0990"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.