Organization Active NPI

West Denver Endocrinology LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Lakewood, CO
National Provider Identifier
1770097073
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
WEST DENVER ENDOCRINOLOGY LLC
Practice address
215 S Wadsworth Blvd Ste 530
Lakewood, CO 80226-1566
Phone
(303) 396-4695
NPI assigned
Nov 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Kimberly Rieniets, DONPI 1003917246
Title
Owner
Phone
(303) 396-4695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

215 S Wadsworth Blvd Ste 530
Lakewood, CO 80226-1566

Mailing address

215 S Wadsworth Blvd Ste 530
Lakewood, CO 80226-1566
Phone (303) 396-4695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180103000376 CO Part B Supplier - Clinic/Group Practice 5092073627 Receives reassigned benefits from 2 practitioners
Practice locations: Lakewood, CO

National Provider Directory

National Provider Directory

Locations

215 S Wadsworth Blvd
Ste 530
Lakewood, CO 80226
Phone (303) 396-4695

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1770097073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S WADSWORTH BLVD STE 530",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261566",
            "telephone_number": "303-396-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S WADSWORTH BLVD STE 530",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261566",
            "telephone_number": "303-396-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DENVER ENDOCRINOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "RIENIETS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-396-4695",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

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