NPIMap

Organization Active NPI

Colorado Kids Pediatrics

  • Pediatrics Physician
  • Denver, CO
National Provider Identifier
1962694166
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
40505 Issued in CO
Legal business name
COLORADO KIDS PEDIATRICS
Practice address
2975 Roslyn St
Suite 100
Denver, CO 80238-3325
Phone
(303) 399-7900
Fax
(303) 399-7999
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Noah Makovsky, MDNPI 1104911874
Title
President
Phone
(303) 399-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 40505 CO Primary

Addresses

Primary practice location

2975 Roslyn St
Suite 100
Denver, CO 80238-3325

Mailing address

2975 Roslyn St
Suite 100
Denver, CO 80238-3325
Phone (303) 399-7900

Other identifiers 1

IdentifierTypeStateIssuer
17402221MedicaidCO

National Provider Directory

National Provider Directory

Locations

1258 S Pearl St
#110
Denver, CO 80210

1258 S Pearl St
Ste 110
Denver, CO 80210
Phone (303) 399-7970

1258 S Pearl St
Unit 110
Denver, CO 80210

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1962694166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 ROSLYN ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383325",
            "telephone_number": "303-399-7900",
            "fax_number": "303-399-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 ROSLYN ST",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383325",
            "telephone_number": "303-399-7900",
            "fax_number": "303-399-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MAKOVSKY",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-399-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "40505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17402221",
            "state": "CO"
        }
    ],
    "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 Jun 22, 2021; 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.