Healthcare Provider Details

I. General information

NPI: 1750208195
Provider Name (Legal Business Name): MR. SALVADOR DENIZARD JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 N REVERE CT STE 4020
AURORA CO
80045-7464
US

IV. Provider business mailing address

679 S REED CT APT 2-105
LAKEWOOD CO
80226-4427
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-9479
  • Fax: 303-724-9472
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: