Healthcare Provider Details

I. General information

NPI: 1225023427
Provider Name (Legal Business Name): DENVER ARTHRITIS CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7111 E LOWRY BLVD STE 200
DENVER CO
80230-7360
US

IV. Provider business mailing address

7111 E LOWRY BLVD STE 200
DENVER CO
80230-7360
US

V. Phone/Fax

Practice location:
  • Phone: 303-394-2828
  • Fax: 303-320-0242
Mailing address:
  • Phone: 303-394-2828
  • Fax: 303-320-0242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number19871310542
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: CAROL A RENDON
Title or Position: OFFICE MANAGER
Credential:
Phone: 303-302-7350