Pediatric & Adolescent Medicine

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

PEDIATRIC & ADOLESCENT MEDICINE

Practice address

9235 Crown Crest Blvd
Suite 100
Parker, CO 80138-8880

Phone

(303) 695-7667

Fax

(303) 695-8146

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David B Roos, MD

Title

President

Phone

(303) 695-7667

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crown Point Pediatrics Doing business as

Tax ID family

Crown Point Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric and Adolescent Medicine Associates PC

  • Primary Care Clinic/Center
  • Parker, CO
  • NPI 1043633647
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Frizzo, DMD

  • Pediatric Dentistry
  • Saint Joseph, MO
  • NPI 1598819799
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1821180506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-695-7667",
            "fax_number": "303-695-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 CROWN CREST BLVD",
            "address_2": "SUITE 100",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801388880",
            "telephone_number": "303-695-7667",
            "fax_number": "303-695-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ROOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-695-7667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009304",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Point Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Alicia Pearce, MD
• Shannon Bramall Pearce, FNP-BC
• Christie Browne Peck, DPT
• Kristine Pedersen, OD
• Lindsey Pederson
• Pediatric and Adolescent Medicine Associates PC
• Pediatric Gastroenterology Consultants PC
• Pediatric Neurology and Epilepsy Specialists, PLLC
• Pediatric Pulmonary and Sleep Specialists, PLLC
• Pediatric Speech Therapy Associates

• Pediatric Adolescent Medicine Physician in Parker, CO
• Providers in Parker, CO by specialty
• Pediatric Adolescent Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.