Organization Active NPI

Clinix Health Services of Colorado Inc

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1912011073
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINIX HEALTH SERVICES OF COLORADO INC
Practice address
7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026
Phone
(303) 996-3249
Fax
(303) 721-0972
NPI assigned
Aug 18, 2006
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Cynthia Brandes
Title
President
Phone
(303) 996-3244

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Chiropractor 111N00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026

Mailing address

7030 S Yosemite St
Suite 210
Centennial, CO 80112-2026
Phone (303) 721-9984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000869 CO Part B Supplier - Clinic/Group Practice 1759277056 Receives reassigned benefits from 8 practitioners
Practice locations: Centennial, CO

National Provider Directory

National Provider Directory

Locations

7030 S Yosemite St
#210
Centennial, CO 80112

7030 S Yosemite St
Ste 210
Centennial, CO 80112
Phone (303) 721-9984

Practitioners & affiliated clinicians

Practitioners 11

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1912011073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 S YOSEMITE ST",
            "address_2": "SUITE 210",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122026",
            "telephone_number": "303-721-9984",
            "fax_number": "303-267-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 S YOSEMITE ST",
            "address_2": "SUITE 210",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122026",
            "telephone_number": "303-996-3249",
            "fax_number": "303-721-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIX HEALTH SERVICES OF COLORADO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "BRANDES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-996-3244"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.