Organization Active NPI

Ovation Primary Care of Denver, LLC

  • Primary Care Clinic/Center
  • Denver, CO
National Provider Identifier
1790566099
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
OVATION PRIMARY CARE OF DENVER, LLC
Doing business as
Ovation Primary Care of Denver
Practice address
4600 S Syracuse St # 980
Denver, CO 80237-2750
Phone
(801) 694-1198
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Mathew Harrison
Title
Cfo
Phone
(817) 941-1068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4600 S Syracuse St # 980
Denver, CO 80237-2750

Mailing address

4600 S Syracuse St # 985
Denver, CO 80237-2750
Phone (801) 694-1198

Other names 1

  • Ovation Primary Care of Denver Doing business as

National Provider Directory

National Provider Directory

Locations

4600 S Syracuse St
#985
Denver, CO 80237

4600 S Syracuse St
#980
Denver, CO 80237
Phone (801) 694-1198

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1790566099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S SYRACUSE ST # 985",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372750",
            "telephone_number": "801-694-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S SYRACUSE ST # 980",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372750",
            "telephone_number": "801-694-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVATION PRIMARY CARE OF DENVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-941-1068"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovation Primary Care of Denver",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ovation Primary Care of Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2025; 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.