Healthcare Provider Details

I. General information

NPI: 1891312336
Provider Name (Legal Business Name): CASTLE PINES PEDIATRICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 07/01/2020
Certification Date: 07/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 VILLAGE SQUARE DR STE 207
CASTLE PINES CO
80108-3708
US

IV. Provider business mailing address

558 E CASTLE PINES PKWY UNIT B4-157
CASTLE PINES CO
80108-4608
US

V. Phone/Fax

Practice location:
  • Phone: 720-779-1991
  • Fax: 720-779-1992
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMAIYA JAMES
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 720-779-1991