Colorado Family Clinic & Professional Recovery Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY INC

Practice address

4990 Kipling St Ste B5-6
Wheat Ridge, CO 80033-6762

Phone

(303) 456-4882

Fax

(303) 456-4875

NPI assigned

Jan 8, 2021

Organization subpart

No

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

Authorized official

Name

Hector L Frisbie, PA-C

Title

President

Phone

(303) 456-4882

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Colorado Family Clinic & Professional Recovery Inc

  • Addiction Medicine (Family Medicine) Physician
  • Wheat Ridge, CO
  • NPI 1114692126
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike Joseph McMillan, MD

  • Family Medicine Physician
  • Golden, CO
  • NPI 1801868401
  NPD
• Kathryn Averson, NP-C

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1851051734
  NPD (past)

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1659969202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST STE B5-6",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 KIPLING ST STE B5-6",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336762",
            "telephone_number": "303-456-4882",
            "fax_number": "303-456-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "FRISBIE",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-456-4882",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Counseling and Wellness Center
• Colorado Dental Affiliates, PLLC
• Colorado Facial Surgery Partners
• Colorado Family Clinic
• Colorado Family Clinic & Professional Recovery Inc
• Colorado Hand and Arm P.C.
• Colorado Home Care LLC
• Colorado Language Cooperative, LLC
• Colorado Orthotic & Prosthetic Services WR
• Colorado Orthotic & Prosthetic Services, LLC

• Family Medicine Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.