Active NPI
Portercare Adventist Health System
Doing business as Center for Endocrinology & Diabetes
- Endocrinology, Diabetes & Metabolism Physician
- Littleton, CO
National Provider Identifier
1881836906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- PORTERCARE ADVENTIST HEALTH SYSTEM
- Doing business as
- Center for Endocrinology & Diabetes
- Practice address
- 7750 S Broadway
Suite 220
Littleton, CO 80122-2623 - Phone
- (720) 528-0860
- Fax
- (720) 528-0861
- NPI assigned
- Apr 3, 2009
- Last updated
- Apr 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David L Watson, M.D.
- Title
- C.M.O.
- Phone
- (303) 673-7181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | Primary |
Addresses
Primary practice location
7750 S Broadway
Suite 220
Littleton, CO 80122-2623
Mailing address
PO Box 911244
Denver, CO 80291-1244
Phone (303) 643-1099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46388362 | Medicaid | CO |
Other names 1
- Center for Endocrinology & Diabetes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090115000327 | CO | Part B Supplier - Clinic/Group Practice | 0941110886 |
Receives reassigned benefits from 869 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Urbana, OH
- NPI 1881048304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1881836906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911244",
"city": "DENVER",
"state": "CO",
"postal_code": "802911244",
"telephone_number": "303-643-1099",
"fax_number": "303-643-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7750 S BROADWAY",
"address_2": "SUITE 220",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801222623",
"telephone_number": "720-528-0860",
"fax_number": "720-528-0861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTERCARE ADVENTIST HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-03",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "C.M.O.",
"authorized_official_telephone_number": "303-673-7181",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46388362",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Center for Endocrinology & Diabetes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Littleton, CO
- Portercare Adventist Health System (Cardiac Rehab at South Denver Cardiology Assoc)
- Portercare Adventist Health System (AdventHealth Medical Group Cardiac Surgery at Littleton)
- Portercare Adventist Health System (AdventHealth Medical Group OB Hospitalists at Littleton)
- Portercare Adventist Health System (Sdca Littleton Clinic)
- Portercare Adventist Health System (South Denver Neurosurgery)
- Joshua Portnoy, M.D.
- Tiffani Nicole Posada, LPC
- Andrew Posner, LCSW
- Angelique Genevieve Poturalski, M.D.
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.