NPIMap

Organization Active NPI

Centura Ventures, LLC

Doing business as CHPG Physical Medicine Church Ranch

  • Physical Medicine & Rehabilitation Physician
  • Westminster, CO
National Provider Identifier
1902275936
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CENTURA VENTURES, LLC
Doing business as
CHPG Physical Medicine Church Ranch
Practice address
7233 Church Ranch Blvd
Juniper Pod
Westminster, CO 80021-4094
Phone
(303) 925-4003
Fax
(303) 925-4024
NPI assigned
Sep 21, 2015
Last updated
Sep 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Sue Jardon
Title
Administrator
Phone
(719) 571-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

7233 Church Ranch Blvd
Juniper Pod
Westminster, CO 80021-4094

Mailing address

PO Box 912425
Denver, CO 80291-2425
Phone (719) 562-6303

Other names 1

  • CHPG Physical Medicine Church Ranch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centura Ventures LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1902275936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912425",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912425",
            "telephone_number": "719-562-6303",
            "fax_number": "303-397-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 CHURCH RANCH BLVD",
            "address_2": "JUNIPER POD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214094",
            "telephone_number": "303-925-4003",
            "fax_number": "303-925-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURA VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "JARDON",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-571-8899"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHPG Physical Medicine Church Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.