Organization Active NPI

Live Well Ventures

  • Specialist
  • Wheat Ridge, CO
National Provider Identifier
1730367392
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DR-43822 Issued in CO
Legal business name
LIVE WELL VENTURES
Practice address
3760 Vance St # 201
Wheat Ridge, CO 80033-6298
Phone
(303) 902-2680
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Dr. Denise Hernandez, MD
Title
President
Phone
(303) 902-2680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X DR-43822 CO Primary

Addresses

Primary practice location

3760 Vance St # 201
Wheat Ridge, CO 80033-6298

Mailing address

3760 Vance St # 201
Wheat Ridge, CO 80033-6298
Phone (303) 902-2680

Other identifiers 2

IdentifierTypeStateIssuer
73081744MedicaidCO
C804783OtherCOMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

3760 Vance St
#201
Wheat Ridge, CO 80033

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1730367392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 VANCE ST # 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336298",
            "telephone_number": "303-902-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 VANCE ST # 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336298",
            "telephone_number": "303-902-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-902-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "DR-43822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73081744",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C804783",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.