Active NPI
Thomas J Blanchard, MD
- Family Medicine Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21175
- Practice address
- 1440 Vine St
Denver, CO 80206-2016 - Phone
- (303) 399-0350
- NPI assigned
- May 5, 2006
- Last updated
- Jun 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21175 | CO | Primary |
Addresses
Primary practice location
1440 Vine St
Denver, CO 80206-2016
Mailing address
PO Box 2153 Dept 40339
Birmingham, AL 35287-9387
Phone (423) 310-1642
Other practice location 1
799 E Hampden Ave
suite 300
Englewood, CO 80113-2700
Phone (303) 493-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1211754 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21175 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Term Care and Rehab Consultants | Family Medicine | Current | Accepting new patients |
| Life Care Physician Services, LLC | Current | Accepting new patients | |
| LTC Urgent Services, LLC | Family Medicine | Past | Accepting new patients |
Locations
12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127
1440 Vine St
Denver, CO 80206
Phone (303) 355-5644
530 W 16th St
Salida, CO 81201
Phone (303) 751-2000
7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Briarwood Health Care Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 4, 2018 Mar 26, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Briarwood Health Care Center
- Skilled Nursing Facility
- Denver, CO
- NPI 1437167152
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Arvada, CO
- NPI 1306946728
-
- Geriatric Medicine (Family Medicine) Physician
- Cleveland, TN
- NPI 1770807919
CO
-
- Family Medicine Physician
- Arvada, CO
- NPI 1982224952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1780632133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2153 DEPT 40339",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352879387",
"telephone_number": "423-310-1642",
"fax_number": "770-270-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 VINE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802062016",
"telephone_number": "303-399-0350"
}
],
"practiceLocations": [
{
"address_1": "799 E Hampden Ave",
"address_2": "suite 300",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801132700",
"country_code": "US",
"telephone_number": "303-493-5200",
"fax_number": "720-570-8533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANCHARD",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "21175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1211754",
"state": "CO"
}
],
"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 Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.