South Suburban Family Practice P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26985 Issued in CO

Legal business name

SOUTH SUBURBAN FAMILY PRACTICE P C

Practice address

7180 E Orchard Rd Ste 101
Centennial, CO 80111-1725

Phone

(303) 721-0220

Fax

(303) 771-8560

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher John Verkler, M.D.

Title

President

Phone

(303) 721-0220

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1750578423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111725",
            "telephone_number": "303-721-0220",
            "fax_number": "303-771-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD STE 101",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111725",
            "telephone_number": "303-721-0220",
            "fax_number": "303-771-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUBURBAN FAMILY PRACTICE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "VERKLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-721-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "26985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1366447484",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Centennial, CO
• Providers in Centennial, 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 Feb 11, 2009; 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.