Organization Active NPI

Reza Esfahani, D.O., P.C.

  • Family Medicine Physician
  • Greenwood Village, CO
National Provider Identifier
1881705945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36069 Issued in CO
Legal business name
REZA ESFAHANI, D.O., P.C.
Practice address
6161 S Syracuse Way
Suite 310
Greenwood Village, CO 80111-4707
Phone
(303) 220-5707
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Reza S Esfahani, D.O.NPI 1538261235
Title
Owner
Phone
(303) 220-5707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36069 CO Primary

Addresses

Primary practice location

6161 S Syracuse Way
Suite 310
Greenwood Village, CO 80111-4707

Mailing address

PO Box 4277
Englewood, CO 80155-4277
Phone (303) 220-5707

Other identifiers 1

IdentifierTypeStateIssuer
59379006MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881705945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4277",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801554277",
            "telephone_number": "303-220-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 S SYRACUSE WAY",
            "address_2": "SUITE 310",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114707",
            "telephone_number": "303-220-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA ESFAHANI, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESFAHANI",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-220-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "36069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59379006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.