NPIMap

Organization Active NPI

Fox Integrated Healthcare, LLC

  • General Practice Physician
  • Broomfield, CO
National Provider Identifier
1932597598
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
51221 Issued in CO
Legal business name
FOX INTEGRATED HEALTHCARE, LLC
Practice address
3305 W 144TH Ave Unit 103
Broomfield, CO 80023-9483
Phone
(303) 469-7066
Fax
(303) 469-7077
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Derek B FoxNPI 1972528065
Title
Owner
Phone
(303) 469-7066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 51221 CO Primary

Addresses

Primary practice location

3305 W 144TH Ave Unit 103
Broomfield, CO 80023-9483

Mailing address

3305 W 144TH Ave Unit 103
Broomfield, CO 80023-9483
Phone (303) 469-7066

National Provider Directory

National Provider Directory

Locations

3305 W 144th Ave
Unit 103
Broomfield, CO 80023
Phone (303) 469-7066

Practitioners & affiliated clinicians

Practitioners 4

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1932597598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVE UNIT 103",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239483",
            "telephone_number": "303-469-7066",
            "fax_number": "303-469-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVE UNIT 103",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239483",
            "telephone_number": "303-469-7066",
            "fax_number": "303-469-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX INTEGRATED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-469-7066"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CO",
            "license": "51221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.