NPIMap

Organization Active NPI

Wellington Provider Group PC

  • General Practice Physician
  • Denver, CO
National Provider Identifier
1962119909
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WELLINGTON PROVIDER GROUP PC
Practice address
2301 Blake St
Denver, CO 80205-2101
Phone
(859) 493-2812
NPI assigned
Oct 31, 2022
Organization subpart
Yes
Parent organization
WELLINGTON PROVIDER GROUP PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Brittany Dennis
Title
Billing/Credentialing Manager
Phone
(859) 518-8817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2301 Blake St
Denver, CO 80205-2101

Mailing address

535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 439-0400

National Provider Directory

National Provider Directory
Tax ID family
Wellington Provider Group P2 organizations share this tax ID, including this one
Part of
Wellington Provider Group P

Other organizations with this tax ID 1

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

Locations

1433 N Water St
Ste 400
Milwaukee, WI 53202
Phone (414) 289-7154

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1962119909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY STE 330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031331",
            "telephone_number": "859-439-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BLAKE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052101",
            "telephone_number": "859-493-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON PROVIDER GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLINGTON PROVIDER GROUP PC",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "859-518-8817"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 31, 2022; 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.