Individual provider Active NPI

Caitlin Clark, MD

  • Obstetrics & Gynecology Physician
  • Denver, CO
National Provider Identifier
1699786376
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR43725 Issued in CO
Practice address
7155 E 38TH Ave
Denver, CO 80207-1630
Phone
(303) 321-7526
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16110 NV
Obstetrics & Gynecology Physician 207V00000X MD2021-1138 NM
Obstetrics & Gynecology Physician 207V00000X DR43725 CO Primary

Addresses

Primary practice location

7155 E 38TH Ave
Denver, CO 80207-1630

Mailing address

700 Colorado Blvd
Suite 179
Denver, CO 80206-4084
Phone (303) 321-7526

Other practice location 1

3220 W Charleston Blvd
Las Vegas, NV 89102-1932
Phone (702) 878-7776

Other practice location 2

701 San Mateo Blvd NE
Albuquerque, NM 87108-1434
Phone (505) 265-9511

Other identifiers 2

IdentifierTypeStateIssuer
77221559MedicaidCO
55089062MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR43725COMDObstetrics & Gynecology Physician
MD2021-1138NMMDObstetrics & Gynecology Physician
16110NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Rocky Mountains, Inc Obstetrics & Gynecology Past Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1699786376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD",
            "address_2": "SUITE 179",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "303-321-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 E 38TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071630",
            "telephone_number": "303-321-7526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3220 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891021932",
            "country_code": "US",
            "telephone_number": "702-878-7776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 San Mateo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081434",
            "country_code": "US",
            "telephone_number": "505-265-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CAITLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "16110",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2021-1138",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR43725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77221559",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55089062",
            "state": "NM"
        }
    ],
    "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 27, 2023; 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.