Healthcare Provider Details

I. General information

NPI: 1508598145
Provider Name (Legal Business Name): ORTHOPEDIC CENTERS OF COLORADO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 E ARAPAHOE RD STE 210
CENTENNIAL CO
80112-4028
US

IV. Provider business mailing address

8101 E LOWRY BLVD STE 120
DENVER CO
80230-7195
US

V. Phone/Fax

Practice location:
  • Phone: 303-344-9090
  • Fax: 303-344-1922
Mailing address:
  • Phone: 720-865-6072
  • Fax: 720-865-6072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: KAREN DAVIS
Title or Position: VP OF BUISNESS
Credential:
Phone: 303-815-4182