Belmar Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29068 Issued in CO

Legal business name

BELMAR FAMILY MEDICINE PC

Practice address

325 S Teller St
Suite 250
Lakewood, CO 80226

Phone

(303) 232-8383

Fax

(303) 232-8207

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Tracy S Hofeditz, MD

Title

Owner/Physician

Phone

(303) 232-8383

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1710997754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S TELLER ST",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-232-8383",
            "fax_number": "303-232-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S TELLER ST",
            "address_2": "SUITE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-232-8383",
            "fax_number": "303-232-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMAR FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "HOFEDITZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "303-232-8383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C808884",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Belmar Chiropractic Clinic, LLC
• Belmar Orthodontics
• Belmar Orthodontics, P.C.
• Belmar Park Dental Care, PC
• Belmar Smiles, P.C.
• Belmar Womens Care P.C.

• Family Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.