Organization Active NPI

Ralston Valley Family Practice LLC

  • Family Medicine Physician
  • Arvada, CO
National Provider Identifier
1952386260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RALSTON VALLEY FAMILY PRACTICE LLC
Practice address
12001 W 63Rd PL
Arvada, CO 80004-4034
Phone
(303) 422-3491
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Doig
Title
Member Manager
Phone
(303) 422-3491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12001 W 63Rd PL
Arvada, CO 80004-4034

Mailing address

12001 W 63Rd PL
Arvada, CO 80004-4034
Phone (303) 422-3491

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952386260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 W 63RD PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044034",
            "telephone_number": "303-422-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 W 63RD PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044034",
            "telephone_number": "303-422-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALSTON VALLEY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOIG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "303-422-3491"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.