NPIMap

Organization Active NPI

SCL Health Front Range Inc

Doing business as Lutheran Spine Center at Denver West

  • Orthopaedic Surgery of the Spine Physician
  • Lakewood, CO
National Provider Identifier
1952928822
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
SCL HEALTH FRONT RANGE INC
Doing business as
Lutheran Spine Center at Denver West
Practice address
1687 Cole Blvd
Suite 103
Lakewood, CO 80401-3182
Phone
(303) 403-6688
Fax
(303) 403-6245
NPI assigned
Jun 26, 2020
Last updated
Jun 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Sean Fadden
Title
VP Finance
Phone
(303) 425-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

1687 Cole Blvd
Suite 103
Lakewood, CO 80401-3182

Mailing address

500 Eldorado Blvd Ste 6300
Broomfield, CO 80021-3422
Phone (303) 272-0566

Other names 1

  • Lutheran Spine Center at Denver West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Intermountain Front Range I11 organizations share this tax ID, including this one
Part of
Sisters of Charity of Leavenworth Health System Inc

Other organizations with this tax ID 10

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

Locations

1687 Cole Blvd
Ste 103
Lakewood, CO 80401
Phone (303) 403-6688

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1952928822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELDORADO BLVD STE 6300",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800213422",
            "telephone_number": "303-272-0566",
            "fax_number": "303-272-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 COLE BLVD",
            "address_2": "SUITE 103",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013182",
            "telephone_number": "303-403-6688",
            "fax_number": "303-403-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCL HEALTH FRONT RANGE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "FADDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "303-425-2410"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Spine Center at Denver West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.