Healthcare Provider Details
I. General information
NPI: 1740086883
Provider Name (Legal Business Name): MOUNT MEEKER PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9195 GRANT ST STE 110
THORNTON CO
80229-4386
US
IV. Provider business mailing address
9195 GRANT ST STE 110
THORNTON CO
80229-4386
US
V. Phone/Fax
- Phone: 720-649-6337
- Fax: 720-794-8246
- Phone: 720-649-6337
- Fax: 720-794-8246
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PRIYA
DOKKEN
Title or Position: PHYSICIAN
Credential: DO
Phone: 720-939-3023