Organization Active NPI

C.W. Derm, LLC

  • Dermatology Physician
  • Grand Junction, CO
National Provider Identifier
1992992150
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19716 Issued in CO
Legal business name
C.W. DERM, LLC
Practice address
2530 N 8TH St
Suite 205
Grand Junction, CO 81501-8858
Phone
(970) 245-1500
Fax
(970) 245-1513
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Richard E Stiefler, MD
Title
Physician
Phone
(970) 245-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 19716 CO Primary

Addresses

Primary practice location

2530 N 8TH St
Suite 205
Grand Junction, CO 81501-8858

Mailing address

2530 N 8TH St
Suite 205
Grand Junction, CO 81501-8858
Phone (970) 245-1500

Other names 1

  • Colorado West Dermatology Doing business as

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
Ste 582
Denver, CO 80231

3464 S Willow St
#582
Denver, CO 80231

267 N Main St
Moab, UT 84532
Phone (435) 259-0408

Practitioners & affiliated clinicians

Practitioners 1

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1992992150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST",
            "address_2": "SUITE 205",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018858",
            "telephone_number": "970-245-1500",
            "fax_number": "970-245-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST",
            "address_2": "SUITE 205",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018858",
            "telephone_number": "970-245-1500",
            "fax_number": "970-245-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.W. DERM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "STIEFLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "970-245-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "19716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado West Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.