NPIMap

Organization Active NPI

Denver Recovery Group LLC

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1720734080
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DENVER RECOVERY GROUP LLC
Practice address
2822 E Colfax Ave
Denver, CO 80206-1507
Phone
(303) 953-2299
Fax
(303) 953-8830
NPI assigned
Feb 25, 2022
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Karla Chavez
Title
Billing Manager
Phone
(575) 993-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2822 E Colfax Ave
Denver, CO 80206-1507

Mailing address

2822 E Colfax Ave
Denver, CO 80206-1507
Phone (303) 953-2299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220315001010 CO Part B Supplier - Clinic/Group Practice 6406282748 Receives reassigned benefits from 1 practitioner
9 other NPIs on this enrollment
Practice locations: Northglenn, CO; Montrose, CO; Colorado Springs, CO; Littleton, CO; Lakewood, CO; Denver, CO; Glenwood Springs, CO; Aurora, CO…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Denver Recovery Group LLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

1429 Grand Ave
Ste 102B
Glenwood Springs, CO 81601

11658 Huron St
Ste 300
Northglenn, CO 80234
Phone (720) 726-2569

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1720734080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061507",
            "telephone_number": "303-953-2299",
            "fax_number": "303-953-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061507",
            "telephone_number": "303-953-2299",
            "fax_number": "303-953-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "575-993-5225"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.