Organization Active NPI

Cmdpn Medical Group of New Jersey, P.C.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1669932760
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CMDPN MEDICAL GROUP OF NEW JERSEY, P.C.
Practice address
3000 Lawrence St # 101
Denver, CO 80205-3422
Phone
(720) 996-0522
NPI assigned
Mar 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
John Dutton, MD
Title
Medical Director
Phone
(720) 996-0522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3000 Lawrence St # 101
Denver, CO 80205-3422

Mailing address

3513 Brighton Blvd Ste 230
Denver, CO 80216-3606
Phone (720) 996-0522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1669932760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 BRIGHTON BLVD STE 230",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163606",
            "telephone_number": "720-996-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LAWRENCE ST # 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053422",
            "telephone_number": "720-996-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMDPN MEDICAL GROUP OF NEW JERSEY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "720-996-0522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "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 Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.