1194587964 NPI number — PEDIACLINIC LLC

Table of content: (NPI 1194587964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194587964 NPI number — PEDIACLINIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEDIACLINIC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194587964
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9555 S UNIVERSITY BLVD UNIT 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGHLANDS RANCH
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80126-8114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-302-3879
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3911 AMBROSIA ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CASTLE ROCK
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80109-3887
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-302-3879
Provider Business Practice Location Address Fax Number:
720-325-2327
Provider Enumeration Date:
01/26/2024

Additional Information

Authorized Official

Authorized Official Last Name:
FEITEN
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
303-981-1494

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1851866180 . This is a "NPPES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 179794 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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