Castle Rock Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CASTLE ROCK DERMATOLOGY, PC

Practice address

755 Maleta Lane Suite 201
Castle Rock, CO 80108-7610

Phone

(303) 688-6355

Fax

(303) 688-6876

NPI assigned

Jun 6, 2007

Last updated

Nov 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy M Broomer, D.O.NPI 1053323196

Title

President

Phone

(303) 688-6355

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Amy M Broomer, D.O.

  • Dermatology Physician
  • Castle Rock, CO
  • NPI 1053323196
  Authorized official Same address or phone
• Steven Adley Brenman, D.O.

  • Dermatology Physician
  • Centennial, CO
  • NPI 1245240902
  NPD (past)
• James T Chapman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Aurora, CO
  • NPI 1437141900

  Dermatology

  NPD (past)
• Anne H Hanson, D.O.

  • Dermatology Physician
  • Parker, CO
  • NPI 1558676668
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1659574820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MALETA LANE SUITE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087610",
            "telephone_number": "303-688-6355",
            "fax_number": "303-688-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MALETA LANE SUITE 201",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087610",
            "telephone_number": "303-688-6355",
            "fax_number": "303-688-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE ROCK DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "BROOMER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-688-6355",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castle Rock Concierge Cardiology, P.C.
• Castle Rock Cosmetic and Family Dentistry
• Castle Rock Counseling, LLC
• Castle Rock Dental Group, P.C.
• Castle Rock Dental Prosthetics and Implants, P.C.
• Castle Rock Endodontics, PLLC
• Castle Rock Eyewear, Inc
• Castle Rock Family Dental, PLLC
• Castle Rock Family Physicians, P.C.
• Castle Rock Foot & Ankle Care PC

• Dermatology Physician in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.