Organization Active NPI

Heartlight Family Clinic, LLC

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1932083250
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEARTLIGHT FAMILY CLINIC, LLC
Practice address
3400 E Bayaud Ave Ste 333
Denver, CO 80209-2929
Phone
(720) 485-3178
NPI assigned
Jul 31, 2025
Organization subpart
Yes
Parent organization
HEARTLIGHT FAMILY CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Brent HerronNPI 1437544558
Title
Owner
Phone
(303) 249-0908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

3400 E Bayaud Ave Ste 333
Denver, CO 80209-2929

Mailing address

1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

Other names 1

  • Redwood Medical Cherry Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartlight Family Clinic LLC2 organizations share this tax ID, including this one
Part of
Heartlight Family Clinic LLC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1932083250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041950",
            "telephone_number": "720-485-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E BAYAUD AVE STE 333",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092929",
            "telephone_number": "720-485-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLIGHT FAMILY CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLIGHT FAMILY CLINIC, LLC",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-249-0908"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redwood Medical 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 31, 2025; 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.