Organization Active NPI

Denver Ear Associates

  • Specialist
  • Englewood, CO
National Provider Identifier
1710962295
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DENVER EAR ASSOCIATES
Practice address
701 E Hampden Ave Ste 415
Englewood, CO 80113-2759
Phone
(303) 788-7880
Fax
(303) 788-7883
NPI assigned
Dec 7, 2005
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Christine Walrath
Title
Practice Administrator
Phone
(303) 788-7880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

701 E Hampden Ave Ste 415
Englewood, CO 80113-2759

Mailing address

701 E Hampden Ave Ste 415
Englewood, CO 80113-2759
Phone (303) 788-7880

Other identifiers 3

IdentifierTypeStateIssuer
303339OtherWYBCBS
107643400MedicaidWY
04008975MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317000676 CO Part B Supplier - Clinic/Group Practice 6507756236 Receives reassigned benefits from 9 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

401 W Hampden Pl
Ste 240
Englewood, CO 80110
Phone (303) 788-7880

701 E Hampden Ave
Ste 415
Englewood, CO 80113
Phone (303) 597-1724

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1710962295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE STE 415",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132759",
            "telephone_number": "303-788-7880",
            "fax_number": "303-788-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE STE 415",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132759",
            "telephone_number": "303-788-7880",
            "fax_number": "303-788-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER EAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "WALRATH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "303-788-7880"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "303339",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107643400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008975",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.