NPIMap

Organization Active NPI

Denver Recovery Group LLC

  • Addiction Medicine (Family Medicine) Physician
  • Boulder, CO
National Provider Identifier
1912554668
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
DENVER RECOVERY GROUP LLC
Practice address
5330 Manhattan Cir Ste H
Boulder, CO 80303-4240
Phone
(720) 536-5571
NPI assigned
Aug 19, 2019
Organization subpart
Yes
Parent organization
DENVER RECOVERY GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Karla Chavez
Title
Billing Manager
Phone
(575) 993-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

5330 Manhattan Cir Ste H
Boulder, CO 80303-4240

Mailing address

5330 Manhattan Cir Ste H
Boulder, CO 80303-4240
Phone (720) 536-5571

Other identifiers 1

IdentifierTypeStateIssuer
9000141712MedicaidCO

Other names 1

  • DENVER RECOVERY GROUP - WEST Other name

National Provider Directory

National Provider Directory
Tax ID family
Denver Recovery Group LLC35 organizations share this tax ID, including this one
Part of
Denver Recovery Group LLC

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1912554668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 MANHATTAN CIR STE H",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034240",
            "telephone_number": "720-536-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 MANHATTAN CIR STE H",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034240",
            "telephone_number": "720-536-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER RECOVERY GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENVER RECOVERY GROUP LLC",
        "enumeration_date": "2019-08-19",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "575-993-5225"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000141712",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENVER RECOVERY GROUP - WEST",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "DENVER RECOVERY GROUP - WEST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.