CANDELAS CLINIC - PRIMARY CARE
NPI 1043973902
Family Medicine in Arvada, CO

Q: What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 18, 2021CLIA 06D2243658 · Waiver

15389 W 91ST DR STE 100, ARVADA, CO 80007(303) 603-9300(720) 501-6699 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Apr 4, 2024, Nov 7, 2023 and 2 more (5 updates tracked since 2021).

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About Candelas Clinic - Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDELAS CLINIC - PRIMARY CARE (NPI 1043973902) is a healthcare organization registered as a family medicine in Arvada, Colorado and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Jon Mcdaniel, Vp Finance Med Group, as its authorized official.

NPPES Registry Identity

NPI1043973902

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC

Location Address15389 W 91ST DR STE 100Arvada, CO 80007-1400

Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566

Phone(303) 603-9300

Fax(720) 501-6699

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Finance Med Group · (303) 272-0231

Enumeration DateOctober 18, 2021

Last NPPES UpdateJune 28, 20245 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1043973902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X

15389 W 91ST DR STE 100, Arvada, CO 80007

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Other Names 2

Doing Business AsCandelas Clinic - Primary Care

Other NameCandelas Clinic - Podiatry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2243658

Cadelas Clinic - Primary Care · Arvada, CO

Active · expires Nov 21, 2027

CLIA Number06D2243658

Laboratory TypePhysician Office

Certificate Effective DateNovember 22, 2025

Certificate Expiration DateNovember 21, 2027

Laboratory DirectorStacey Boser

Laboratory Phone(303) 603-9300

Laboratory LocationCadelas Clinic - Primary Care15389 W 91st Dr Ste 100, Arvada, CO 80007

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountain Medical Group Denver, LLC's NPI number?

The NPI number for Intermountain Medical Group Denver, LLC is 1043973902. It was assigned to this organization in the NPPES registry on October 18, 2021. The provider is doing business as Candelas Clinic - Primary Care. The provider is also known as Candelas Clinic - Podiatry.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 15389 W 91st Dr Ste 100, Arvada, CO 80007. The listed phone number is (303) 603-9300.

What is Intermountain Medical Group Denver, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Intermountain Medical Group Denver, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2243658) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Denver, LLC was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.