Active NPI
Caitlin Clark, MD
- Obstetrics & Gynecology Physician
- Denver, CO
National Provider Identifier
1699786376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DR43725
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77221559 | Medicaid | CO | |
| 55089062 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR43725 | CO | MD | Obstetrics & Gynecology Physician |
| MD2021-1138 | NM | MD | Obstetrics & Gynecology Physician |
| 16110 | NV | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Ambulatory Family Planning Facility
- Denver, CO
- NPI 1881743631
Obstetrics & Gynecology
-
- Ambulatory Family Planning Facility
- Albuquerque, NM
- NPI 1851440945
Obstetrics & Gynecology
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.