Organization Active NPI

Ann Grace, M.D., P.C.

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1790718526
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ANN GRACE, M.D., P.C.
Practice address
6909 S Holly Cir Ste 100
Centennial, CO 80112-6300
Phone
(720) 528-3559
Fax
(720) 528-9903
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Richard Jay Drexelius, MD
Title
Vice President
Phone
(303) 740-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6909 S Holly Cir Ste 100
Centennial, CO 80112-6300

Mailing address

6909 S Holly Cir Ste 100
Centennial, CO 80112-6300
Phone (720) 528-3559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1790718526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 S HOLLY CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126300",
            "telephone_number": "720-528-3559",
            "fax_number": "720-528-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 S HOLLY CIR STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801126300",
            "telephone_number": "720-528-3559",
            "fax_number": "720-528-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN GRACE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "DREXELIUS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "303-740-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.