TJDMEDICAL CENTER (NPI# 1497930945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497930945 |
| Entity Type | Organization |
| Organization Name | TJDMEDICAL CENTER |
| Practice Address |
4251 Kipling St Suite 560 Wheat Ridge CO 80033-2896 |
| Practice Telephone | 7208988900 |
| Practice Fax Number | 7208988901 |
| Mailing Telephone | 7208988900 |
| Mailing Fax Number | 7208988901 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | TERRY GARDNER (OWNER) |
| Authorized Official Telephone | 7208988900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 39589 | CO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 83685731 | 05 |
| Street Address |
4251 KIPLING ST SUITE 560 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-2896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023053675 | Allison Fall | Physical Medicine & Rehabilitation | 4251 Kipling St, Ste 220, Wheat Ridge, CO 80033-2896 | 2006-06-18 |
| 1811433931 | Adria Rigg, LLC | Marriage & Family Therapist | 4251 Kipling St, Suite 430, Wheat Ridge, CO 80033-2896 | 2017-01-12 |
| 1912451543 | Diane Glass, Lcsw, Lcc | Social Worker | 4251 Kipling St, Suite 345, Wheat Ridge, CO 80033-2896 | 2016-08-11 |
| 1457782393 | Florida Eldercare Communities, Inc | Rehabilitation Practitioner | 4251 Kipling St, Suite 340, Wheat Ridge, CO 80033-2896 | 2013-12-03 |
| 1619303732 | Honor Hospice | Hospice Care, Community Based | 4251 Kipling St, 405, Wheat Ridge, CO 80033-2896 | 2013-09-20 |
| 1114353513 | Diane Glass | Social Worker | 4251 Kipling St, Suite 345, Wheat Ridge, CO 80033-2896 | 2013-09-18 |
| 1609201219 | Jennifer M. Katz, L.ac, LLC | Acupuncturist | 4251 Kipling St, Suite 505, Wheat Ridge, CO 80033-2896 | 2013-09-13 |
| 1184971939 | Private Practice of Carrie Hildebrandt LLC | Clinic/Center | 4251 Kipling St, Suite # 350, Wheat Ridge, CO 80033-2896 | 2012-08-11 |
| 1528340239 | Adria Rigg | Counselor | 4251 Kipling St, Suite 430, Wheat Ridge, CO 80033-2896 | 2011-09-20 |
| 1306057260 | Jose Marcos Lafosse | Clinical Neuropsychologist | 4251 Kipling St, Unit 565, Wheat Ridge, CO 80033-2899 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471580 | Lisa Marie-mausbach Bailey | Clinic/Center | 10474 W 38th Ave, Wheat Ridge, CO 80033-4010 | 2019-01-29 |
| 1710150800 | Apex Family Chiropractic | Clinic/Center | 7200 W 44th Ave, Wheat Ridge, CO 80033-4722 | 2008-04-09 |
| 1841643400 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-07-19 |
| 1801900576 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2006-08-18 |
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|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.