Colorado Optimal Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

28449 Issued in CO

Legal business name

COLORADO OPTIMAL HEALTH

Practice address

200 Union Blvd Ste 430
Lakewood, CO 80228-1832

Phone

(303) 905-1517

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Joshua D Anderson

Title

Clinical Director

Phone

(720) 624-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1992187553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 430",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281832",
            "telephone_number": "303-905-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNION BLVD STE 430",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281832",
            "telephone_number": "303-905-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "720-624-9696"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "28449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colorado Lifestyle Medical LLC
• Colorado Mental Health Services LLC
• Colorado O2 Services, LLC
• Colorado Ocupational Medical Partners, Inc.
• Colorado Ophthalmology Associates PC
• Colorado Pain Practice, LLC
• Colorado Pain Practice, PLLC
• Colorado Pain Practice, PLLC
• Colorado Pain Specialists PC
• Colorado Permanente Medical Group, P.C.

• Clinic/Center in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.