Colo State Dept of C Orrections

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1380 Issued in CO

Legal business name

COLO STATE DEPT OF C ORRECTIONS

Practice address

3600 Havana
Denver, CO 80236

Phone

(303) 307-2600

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Cary Shames

Title

Mco

Phone

(303) 307-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720148935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HAVANA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393266",
            "telephone_number": "303-307-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HAVANA",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80236",
            "telephone_number": "303-307-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLO STATE DEPT OF C ORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAMES",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "MCO",
        "authorized_official_telephone_number": "303-307-2600"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willene Romonda Collins, MEDICAL ASSISTANT
• Collis Johnson Jr DDS PC
• Megan Collop
• Sarah Welchert Collopy, FNP
• Carly Colman
• Stacy W Colodny, MD
• Ellyott Colon
• Kate Colon, PSYD
• Rachel Jillian Colon, M.S., CCC-SLP
• Daniel Vincent Colonno, M.D.

• Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.