Organization Active NPI

Cherry Creek Suboxone Clinic,LLC

  • Medical Specialty Clinic/Center
  • Aurora, CO
National Provider Identifier
1922359371
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CHERRY CREEK SUBOXONE CLINIC,LLC
Practice address
3191 S Vaughn Way
Aurora, CO 80014-3505
Phone
(303) 495-5047
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Suzanne Belibi
Title
Administrator
Phone
(303) 495-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3191 S Vaughn Way
Aurora, CO 80014-3505

Mailing address

15741 E Progress Dr
Centennial, CO 80015-4257
Phone (303) 495-5047

National Provider Directory

National Provider Directory

Locations

3191 S Vaughn Way
Aurora, CO 80014
Phone (303) 495-5047

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1922359371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15741 E PROGRESS DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154257",
            "telephone_number": "303-495-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 S VAUGHN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143505",
            "telephone_number": "303-495-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY CREEK SUBOXONE CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "BELIBI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-495-5047"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.