Individual provider Active NPI

Roswitha Moehring, M.D.

  • Allergy & Immunology Physician
  • Denver, CO
National Provider Identifier
1801989462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
19562 Issued in CO
Practice address
695 S Colorado Blvd
Suite 450
Denver, CO 80246-8008
Phone
(303) 733-9886
Fax
(303) 733-4153
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 19562 CO Primary

Addresses

Primary practice location

695 S Colorado Blvd
Suite 450
Denver, CO 80246-8008

Mailing address

695 S Colorado Blvd
Suite 450
Denver, CO 80246-8008
Phone (303) 733-9886

Other identifiers 1

IdentifierTypeStateIssuer
01195627MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19562COMDAllergy & Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801989462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD",
            "address_2": "SUITE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468008",
            "telephone_number": "303-733-9886",
            "fax_number": "303-733-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD",
            "address_2": "SUITE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468008",
            "telephone_number": "303-733-9886",
            "fax_number": "303-733-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOEHRING",
        "first_name": "ROSWITHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "19562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01195627",
            "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 Jul 8, 2007; 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.