Organization Active NPI

Colorado Center for Health and Longevity

  • Family Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1659677086
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25657 Issued in CO
Legal business name
COLORADO CENTER FOR HEALTH AND LONGEVITY
Practice address
8200 E Belleview Ave Ste 303C
Greenwood Village, CO 80111-2880
Phone
(303) 771-3455
Fax
(866) 280-9199
NPI assigned
Feb 2, 2011
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Ian R Levenson, D.O.
Title
President
Phone
(303) 771-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25657 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave Ste 303C
Greenwood Village, CO 80111-2880

Mailing address

8200 E Belleview Ave Ste 303C
Greenwood Village, CO 80111-2880
Phone (303) 771-3455

National Provider Directory

National Provider Directory

Locations

8200 E Belleview Ave
Ste 303C
Greenwood Village, CO 80111
Phone (303) 771-3455

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1659677086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 303C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112880",
            "telephone_number": "303-771-3455",
            "fax_number": "866-280-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE STE 303C",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112880",
            "telephone_number": "303-771-3455",
            "fax_number": "866-280-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO CENTER FOR HEALTH AND LONGEVITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-771-3455",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25657",
            "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 Feb 2, 2011; 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.