SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC


Address: 380 Empire Rd, Suite 120, Lafayette, CO 80026-2677
Phone: 9703512412

SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC (NPI# 1396052544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396052544
Entity Type Organization
Organization Name SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC
Practice Address 380 Empire Rd
Suite 120
Lafayette
CO 80026-2677
Mailing Address 380 Empire Rd
Suite #120
Lafayette
CO 80026-2677
Practice Telephone 9703512412
Mailing Telephone 3036658444
Enumeration Date 2010-09-09
Last Update Date 2017-12-04
NPI Deactivation Date 11/28/2017
NPI Reactivation Date 2017-12-04
Authorized Official Name DR. GREGORY D DENZEL (OWNER)
Authorized Official Telephone 9703512412
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QX0100X Clinic/Center
Specialization: Occupational Medicine
32068 CO Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
32068 CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 01320688 05

Office Location

Street Address 380 EMPIRE RD
SUITE 120
City LAFAYETTE
State CO
Zip Code 80026-2677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508979949 Paradigm Physical Therapy LLC Physical Therapist 380 Empire Rd, Suite 230, Lafayette, CO 80026-2677 2006-08-17
1285139782 Hanna Christine Gustafsson Physical Therapist 380 Empire Rd, Lafayette, CO 80026-2677 2018-03-27
1326413535 South Pointe Chiropractic Chiropractor 380 Empire Rd, Ste 120, Lafayette, CO 80026-2677 2015-12-14
1508297466 Jennifer George Reed Nurse Practitioner 380 Empire Rd, #120, Lafayette, CO 80026-2677 2013-12-03
1689981839 Southpoint Urgent Care LLC Clinic/Center 380 Empire Rd, Suite 120, Lafayette, CO 80026-2677 2010-09-09
1285969881 Wesley Michael Cavanaugh Chiropractor 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 2009-10-15
1083846398 Megan Leigh Moon Chiropractor 380 Empire Rd, Lafayette, CO 80026-2677 2009-08-20
1578794913 Eric Lawrence St.pierre Chiropractor 380 Empire Rd, Suite # 101, Lafayette, CO 80026-2677 2009-08-03
1033340740 Paul Kenneth Branch Family Medicine 380 Empire Rd, #120, Lafayette, CO 80026-2677 2009-07-29
1215172523 Colorado Back and Spine Center Clinic/Center 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 2008-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528671690 Julia Michele Colton Occupational Therapist 110 S. Roosevelt Ave, Lafayette, CO 80026 2020-08-28
1265045900 Amber M. Roter Social Worker 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 2020-08-24
1669008314 Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd Clinic/Center 588 N Hwy 287, Suite 200, Lafayette, CO 80026 2020-03-13
1659918910 Emily Nicole Pearson Behavior Technician 961 Sandstone Circle, Lafayette, CO 80026 2019-12-05
1790320612 Gs Campus Asc, LLC Clinic/Center Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 2019-11-14
1639711864 Martina Christina Holzach Student in an Organized Health Care Education/Training Program 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 2019-10-09
1104474055 2nd Star Counseling Clinic/Center 260 S. Public Rd, Lafayette, CO 80026 2019-09-03
1912460015 Premier Eye Surgery Center of Colorado, LLC Clinic/Center 1050 W. South Boulder Road, Lafayette, CO 80026 2019-04-08
1144704883 Nikole J Randolph Nutritionist 2770 Dagny Way Suite 210, Lafayette, CO 80026 2018-09-19
1609388842 Claro Scientific Laboratories Corp Clinical Medical Laboratory 1408 Horizon Ave Ste 101, Lafayette, CO 80026 2017-10-27
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1881148583 Wecare Tlc - Tsc Lsc Health and Wellness South Clinic/Center 3000 S 9th St, Suite B, Lafayette, IN 47909-6702 2016-08-10
1164976866 Wecare Tlc - Tsc Lsc Health and Wellness North Clinic/Center 2529 Schuyler Ave, Suite 700, Lafayette, IN 47905-3979 2016-08-10
1528351574 Kirk F Knecht LLC Clinic/Center 213 Fourpark Rd Ste C, Lafayette, LA 70507-2481 2011-05-24
1841315421 Cureshe, Inc Clinic/Center 107 Carrollton Cir, Lafayette, LA 70503-5842 2007-03-20
1609967900 Kirtland Dana Swan Clinic/Center 113 Saint Thomas St Ste A, Lafayette, LA 70506-4575 2006-09-28
1497302871 Boulder Community Health Clinic/Center 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026-2753 2019-08-21
1336611201 Wellness for Life Clinic/Center 2529 Schuyler Ave, Lafayette, IN 47905-3979 2018-12-17
1730670092 Callie Medical Group LLC Clinic/Center 200 Highway 52 Byp E Ste D, Lafayette, TN 37083-1356 2018-05-22
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Competitor

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City LAFAYETTE
Zip Code 80026

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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