COLORADO PROVIDER NETWORK LLC – NPI #1114602596
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

COLORADO PROVIDER NETWORK LLC is a provider located in LAKEWOOD, CO. NPPES has assigned the NPI number 1114602596 to COLORADO PROVIDER NETWORK LLC on June 21, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLORADO PROVIDER NETWORK LLC below.

NPI Profile for
COLORADO PROVIDER NETWORK LLC

NPI Number
1114602596
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLORADO PROVIDER NETWORK LLC
Primary location
1435 GARRISON ST STE 110
LAKEWOOD, CO 80215-4748
Phone: (720) 241-3765 Fax:
Mailing address
PO BOX 12375
DENVER, CO 80212-0375
Phone: (970) 664-2497 Fax:
Organization Subpart
No
Authorized Official
JOHN MARQUEZ
OWNER
Phone: (720) 241-3765
Updated
Certification Date
Jun 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.