Organization Active NPI

Castle Pines Family Practice, LLC

  • Family Medicine Physician
  • Castle Pines, CO
National Provider Identifier
1700153301
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CASTLE PINES FAMILY PRACTICE, LLC
Practice address
7280 Lagae Rd
Castle Pines, CO 80108-9452
Phone
(303) 814-0505
NPI assigned
Nov 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Lawrence S Wilner, MD
Title
MD/Owner
Phone
(303) 814-0505

Specialties & licenses 1

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

Addresses

Primary practice location

7280 Lagae Rd
Castle Pines, CO 80108-9452

Mailing address

7280 Lagae Rd
Castle Pines, CO 80108-9452
Phone (303) 814-0505

Other identifiers 1

IdentifierTypeStateIssuer
32016OtherCOMEDICAL LIC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1700153301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089452",
            "telephone_number": "303-814-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801089452",
            "telephone_number": "303-814-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PINES FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WILNER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "303-814-0505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "32016",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Pines, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.