Organization Active NPI

C9 Corp

Doing business as Anodyne of South Denver

  • General Practice Physician
  • Englewood, CO
National Provider Identifier
1972270254
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
C9 CORP
Doing business as
Anodyne of South Denver
Practice address
125 Inverness Dr E Ste 320
Englewood, CO 80112-5139
Phone
(720) 468-3306
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Andrew V Forcina
Title
President
Phone
(720) 468-3306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

125 Inverness Dr E Ste 320
Englewood, CO 80112-5139

Mailing address

125 Inverness Dr E Ste 320
Englewood, CO 80112-5139
Phone (720) 468-3306

Other names 1

  • Anodyne of South Denver Doing business as

National Provider Directory

National Provider Directory

Locations

125 Inverness Dr E
Ste 320
Englewood, CO 80112
Phone (303) 662-8400

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1972270254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E STE 320",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125139",
            "telephone_number": "720-468-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INVERNESS DR E STE 320",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125139",
            "telephone_number": "720-468-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C9 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "FORCINA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-468-3306"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anodyne of South Denver",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.