Pediaclinic Llc

LBN: Pediaclinic Llc
Pediaclinic Llc is an health care organization with primary practice located at 3911 Ambrosia St Ste 100 , Castle Rock CO 80109-3887. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediaclinic Llc can be contacted via phone (303) 302-3879, or through Feiten, Daniel James via phone (303) 981-1494.

Contact Information

Primary practice address
3911 Ambrosia St Ste 100 Castle Rock CO 80109-3887
Phone: (303) 302-3879
Fax: (720) 325-2327
Website:
Map and Directions
Authorized official contact:
Name: Feiten, Daniel James Doctor of Medicine (MD)
Phone: (303) 981-1494

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1194587964
LBN Legal business name Pediaclinic Llc
DBA Doing business as
Authorized official Feiten, Daniel James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 26th, 2024
Last updated Oct 6th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194587964 NPPES
Other 1851866180 NPPES
MEDICAID 179794 NPPES

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