Denver Medical & Injury Rehabilitation Center Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

DENVER MEDICAL & INJURY REHABILITATION CENTER INC

Doing business as

Denver Medical

Practice address

5950 S Willow Dr Ste 200
Greenwood Village, CO 80111-5144

Phone

(720) 515-8002

Fax

(303) 741-2676

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By 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

Dr. Clyde Johnson, DCNPI 1063766723

Title

President

Phone

(720) 515-8002

Specialties & licenses 8

Addresses

Other names 1

• Denver Medical Doing business as

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.

• Clyde Francis Johnson, D.C.

  • Sports Physician Chiropractor
  • Centennial, CO
  • NPI 1063766723
  Authorized official Same address or phone

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1770053597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115144",
            "telephone_number": "720-515-8002",
            "fax_number": "303-741-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER MEDICAL & INJURY REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-515-8002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denver Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denver Back Pain Specialists
• Denver Back Pain Specialists (The Denver Spine and Pain Institute)
• Denver Back Pain Specialists, LLC
• Denver Center for Integrated Counseling LLC
• Denver Counseling, Inc
• Denver Nurse Anesthesia
• Denver Pain Management Associates
• Denver Physical Therapy, P.C.
• Denver Physical Therapy, P.C.
• Denver Regional Oncology Medical Group, LLC (Advanced Cancer Care of Colorado)

• Pain Medicine Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.