Healthcare Provider Details

I. General information

NPI: 1558442053
Provider Name (Legal Business Name): CHERRY CREEK SCHOOL DISTRICT NO. 5
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4610 S ULSTER ST STE 1001
DENVER CO
80237-4321
US

IV. Provider business mailing address

4610 S ULSTER ST STE 1001
DENVER CO
80237-4321
US

V. Phone/Fax

Practice location:
  • Phone: 720-886-7057
  • Fax: 720-886-7059
Mailing address:
  • Phone: 720-886-7057
  • Fax: 720-886-7059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateCO

VIII. Authorized Official

Name: SCOTT SMITH
Title or Position: CHIEF FINANCIAL AND OPERATING OFC
Credential:
Phone: 303-358-0851