Organization Active NPI

Flatirons Dermatology PLLC

  • Dermatology Physician
  • Broomfield, CO
National Provider Identifier
1881789469
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
6052A Issued in CO
Legal business name
FLATIRONS DERMATOLOGY PLLC
Practice address
13605 Xavier Lane
Suite B
Broomfield, CO 80020
Phone
(303) 404-3376
NPI assigned
Oct 3, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Christopher M Smith, MDNPI 1952393829
Title
Member Manager
Phone
(303) 404-3376

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
Dermatology Physician 207N00000X 6052A CO Primary

Addresses

Primary practice location

13605 Xavier Lane
Suite B
Broomfield, CO 80020

Mailing address

13605 Xavier Lane
Suite B
Broomfield, CO 80020
Phone (303) 404-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000076 CO Part B Supplier - Clinic/Group Practice 9537169321 Receives reassigned benefits from 5 practitioners
Practice locations: Broomfield, CO; Erie, CO

National Provider Directory

National Provider Directory

Locations

13605 Xavier Ln
Ste B
Broomfield, CO 80023
Phone (303) 404-3376

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1881789469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LANE",
            "address_2": "SUITE B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-404-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LANE",
            "address_2": "SUITE B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-404-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLATIRONS DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "303-404-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "6052A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.