Pcim

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PCIM

Practice address

421 S Tejon St Ste 120
Colorado Springs, CO 80903-2139

Phone

(719) 491-1616

Fax

(719) 591-0835

NPI assigned

Jan 3, 2020

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Denam, DONPI 1770541336

Title

DO & Owner

Phone

(719) 491-1616

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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.

• William Lee Denam Jr., DO

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1770541336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1720627011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 N WEBER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032428",
            "telephone_number": "719-491-1616",
            "fax_number": "719-591-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S TEJON ST STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032139",
            "telephone_number": "719-491-1616",
            "fax_number": "719-591-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "DENAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DO & OWNER",
        "authorized_official_telephone_number": "719-491-1616",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Payne
• Brittney Payton
• John Payton
• Kyndall L Payton
• Daniel Nicolas Paz de Araujo, MD
• Pdi Health Co LLC
• Pdi Health Co LLC
• Anthony Michael Pea
• Emily Peace
• Peaceful Living Enterprises, Inc. (Comfort Keepers #511)

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, 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 Oct 22, 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.