NPIMap

Organization Active NPI

Denver Skin Clinic, P.C

  • Dermatology Physician
  • Denver, CO
National Provider Identifier
1992824197
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DENVER SKIN CLINIC, P.C
Practice address
2200 E 18TH Ave
Denver, CO 80206-1205
Phone
(303) 322-7789
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Leslie Havard
Title
Administrator
Phone
(303) 322-7789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2200 E 18TH Ave
Denver, CO 80206-1205

Mailing address

PO Box 3770
Parker, CO 80134-1440
Phone (303) 805-7686

National Provider Directory

National Provider Directory

Locations

155 S Madison St
Ste 226
Denver, CO 80209
Phone (303) 322-7789

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1992824197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3770",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801341440",
            "telephone_number": "303-805-7686",
            "fax_number": "303-805-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E 18TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061205",
            "telephone_number": "303-322-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENVER SKIN CLINIC, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "HAVARD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-322-7789"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "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 Feb 17, 2010; 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.