NPIMap

Organization Active NPI

Podiatry Associates, Inc

Doing business as Podiatry Associates at Cherry Creek

  • Foot & Ankle Surgery Podiatrist
  • Denver, CO
National Provider Identifier
1891158952
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PODIATRY ASSOCIATES, INC
Doing business as
Podiatry Associates at Cherry Creek
Practice address
300 S Jackson St Ste 310
Denver, CO 80209-3134
Phone
(303) 805-5156
Fax
(303) 805-5157
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Dr. Cynthia Classen, DPM
Title
Doctor/Owner
Phone
(303) 805-5156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

300 S Jackson St Ste 310
Denver, CO 80209-3134

Mailing address

7505 Village Square Dr
# 101
Castle Pines, CO 80108-3692
Phone (303) 805-5156

Other identifiers 1

IdentifierTypeStateIssuer
41272358MedicaidCO

Other names 1

  • Podiatry Associates at Cherry Creek Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801000714 CO DME Supplier - Physician - Podiatry 3274509393 Practice locations: Denver, CO

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1891158952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 VILLAGE SQUARE DR",
            "address_2": "# 101",
            "city": "CASTLE PINES",
            "state": "CO",
            "postal_code": "801083692",
            "telephone_number": "303-805-5156",
            "fax_number": "303-805-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S JACKSON ST STE 310",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093134",
            "telephone_number": "303-805-5156",
            "fax_number": "303-805-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "CLASSEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "303-805-5156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41272358",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Podiatry Associates at Cherry Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Podiatry Associates at Cherry Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2021; 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.