Active NPI
Robert Holbrook Stapp, M.D.
- Pediatrics Physician
- Centennial, CO
National Provider Identifier
1952363905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25952
- Practice address
- 9094 E Mineral Ave
Suite 120
Centennial, CO 80112-7200 - Phone
- (303) 779-5437
- Fax
- (303) 689-9628
- NPI assigned
- Apr 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25952 | CO | Primary |
Addresses
Primary practice location
9094 E Mineral Ave
Suite 120
Centennial, CO 80112-7200
Mailing address
9094 E Mineral Ave
Suite 120
Centennial, CO 80112-7200
Phone (303) 779-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O1259522 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25952 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics 5280 PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952363905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9094 E MINERAL AVE",
"address_2": "SUITE 120",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801127200",
"telephone_number": "303-779-5437",
"fax_number": "303-689-9628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9094 E MINERAL AVE",
"address_2": "SUITE 120",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801127200",
"telephone_number": "303-779-5437",
"fax_number": "303-689-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPP",
"first_name": "ROBERT",
"middle_name": "HOLBROOK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "25952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "O1259522",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
- Kristi Staniszewski, PT
- Christopher M Stanley, PSY.D.
- Christopher Scott Stanley, M.D.
- Jessica Stanley
- Brittany Leann Stanton, M.S., CCC-SLP
- Star Center Foundation (Star Institute for Sensory Processing)
- Yvonne A. Stark, R.PH.
- Marie Carmel Starling, D.C.
- Nancy Barber Starr, P.N.P.
- Stasi Orthodontics PLLC (Comfort Dental Braces)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.