Individual provider Active NPI

Thomas J Blanchard, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1780632133
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21175 Issued in CO
Practice address
1440 Vine St
Denver, CO 80206-2016
Phone
(303) 399-0350
NPI assigned
May 5, 2006
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1211754MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000557 CO Practitioner - General PracticePractitioner - Family Practice 6608841622 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21175COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care and Rehab Consultants Family Medicine CurrentSince Aug 13, 2020 Accepting new patients
Life Care Physician Services, LLC CurrentSince Oct 7, 2013 Accepting new patients
LTC Urgent Services, LLC Family Medicine PastSince Apr 26, 2020 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.

FacilityTypeRoleSince
Briarwood Health Care CenterDenver, CO, CCN 065255 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.

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.

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

Verify at the official NPI Registry.