Organization Active NPI

Elevated Direct Primary Care, P.C.

  • Primary Care Clinic/Center
  • Northglenn, CO
National Provider Identifier
1972327500
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELEVATED DIRECT PRIMARY CARE, P.C.
Practice address
11160 Huron St Ste 31
Northglenn, CO 80234-3335
Phone
(720) 627-4151
Fax
(720) 547-1562
NPI assigned
Nov 11, 2024
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Ben Mendoza III, MDNPI 1285955534
Title
Physician Partner
Phone
(720) 627-4151

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11160 Huron St Ste 31
Northglenn, CO 80234-3335

Mailing address

11160 Huron St Ste 31
Northglenn, CO 80234-3335

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2332895Elevated Direct Primary Care PC11160 Huron St, Suite 31, Northglenn, CO 80234Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

11160 Huron St
Ste 31
Northglenn, CO 80234
Phone (720) 689-4151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1972327500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 31",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "fax_number": "720-547-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 31",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-627-4151",
            "fax_number": "720-547-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED DIRECT PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "720-627-4151",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.