Organization Active NPI

Charles Goldstein PC

  • General Practice Physician
  • Littleton, CO
National Provider Identifier
1700920386
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18797 Issued in CO
Legal business name
CHARLES GOLDSTEIN PC
Practice address
4535 S Kipling St
Littleton, CO 80127-1139
Phone
(303) 973-0798
Fax
(303) 973-0314
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Debi Shaklee
Title
Office Manager
Phone
(303) 973-0798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 18797 CO Primary

Addresses

Primary practice location

4535 S Kipling St
Littleton, CO 80127-1139

Mailing address

4535 S Kipling St
Littleton, CO 80127-1139
Phone (303) 973-0798

Other identifiers 2

IdentifierTypeStateIssuer
28856546MedicaidCO
75424OtherCOLAKEHURST MEDICAL CENTER

Other names 1

  • Lakehurst Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1700920386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 S KIPLING ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271139",
            "telephone_number": "303-973-0798",
            "fax_number": "303-973-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 S KIPLING ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801271139",
            "telephone_number": "303-973-0798",
            "fax_number": "303-973-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES GOLDSTEIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "SHAKLEE",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-973-0798"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "18797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28856546",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKEHURST MEDICAL CENTER",
            "identifier": "75424",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakehurst Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.