Mary J Daehn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28506 Issued in CO

Practice address

11166 Huron St Ste 27
Northglenn, CO 80234-3339

Phone

(303) 430-0240

Fax

(303) 430-5883

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elane Shirar MD Inc

  • Family Medicine Physician
  • Northglenn, CO
  • NPI 1134227291
  NPD (past)
• Flatirons Family Practice Inc

  • Family Medicine Physician
  • Broomfield, CO
  • NPI 1609802982
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1689616831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 AZTEC DRIVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80303",
            "telephone_number": "303-430-0240",
            "fax_number": "303-430-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 HURON ST STE 27",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343339",
            "telephone_number": "303-430-0240",
            "fax_number": "303-430-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAEHN",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Eduardo Cubillas Manrique, M.D
• Suellen Cummings
• Alyssa Cure, OTD
• Elaine JCD D'Amato, LPC
• Alex D'Amore-Braver
• Macy Grace Dale, COTA
• Holly Elizabeth Dana, BCBA
• Ashley Daniels
• Damian Dauphin
• David Erik Ouderkirk DPM PC

• Family Medicine Physician in Northglenn, CO
• Providers in Northglenn, 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 1, 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.