Healthcare Provider Details

I. General information

NPI: 1023793668
Provider Name (Legal Business Name): ALL IS WELL FAMILY PRACTICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7076 S ALTON WAY STE G1
CENTENNIAL CO
80112-2027
US

IV. Provider business mailing address

PO BOX 4602
GREENWOOD VILLAGE CO
80155-4602
US

V. Phone/Fax

Practice location:
  • Phone: 720-800-3565
  • Fax: 720-405-4192
Mailing address:
  • Phone: 720-800-3565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. MARTIN JOSEPH RIOS
Title or Position: AGENT
Credential:
Phone: 720-800-3565