Pediatrics Dtc, Pc

LBN: Pediatrics 5280, Pc
Pediatrics Dtc, Pc is an health care organization with primary practice located at 2352 Meadows Blvd Suite 150, Castle Rock CO 80109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatrics 5280, Pc can be contacted via phone (303) 779-5437, or through Ripperton, Mike via phone (303) 779-5437.

Contact Information

Primary practice address
2352 Meadows Blvd Suite 150 Castle Rock CO 80109
Fax:
Website:
Authorized official contact:
Name: Ripperton, Mike

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1134545395
LBN Legal business name Pediatrics 5280, Pc
DBA Doing business as Pediatrics Dtc, Pc
Authorized official Ripperton, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2014
Last updated Mar 12th, 2014 - about 12 years ago

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 1134545395 NPPES
Colorado MEDICAID 04013280

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