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DAVITA MEDICAL GROUP
NPI 1063956779
General Practice in Colorado Springs, CO

Active since December 14, 2016
2020 W COLORADO AVE, STE 100, COLORADO SPRINGS, CO 80904(719) 473-3606(719) 473-0132 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2017, Dec 14, 2016 (2 updates tracked since 2016).

About Davita Medical Group NPPES

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

DAVITA MEDICAL GROUP (NPI 1063956779) is a healthcare organization registered as a general practice in Colorado Springs, Colorado and active in the NPI registry since December 2016. The organization lists Dennis L Schneider, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1063956779
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDAVITA MEDICAL GROUP COLORADO SPRINGS, LLC
Location Address2020 W COLORADO AVE, STE 100Colorado Springs, CO 80904-3882
Mailing Address2 S Cascade Ave, Ste 140Colorado Springs, CO 80903-1624 · (719) 538-2900 · Fax (719) 538-2987
Phone(719) 473-3606
Fax(719) 473-0132
Organization SubpartNo
Authorized OfficialDennis L SchneiderChief Medical Officer · (719) 538-2900
Enumeration DateDecember 14, 2016
Last NPPES UpdateSeptember 22, 20172 updates tracked since enumeration
✔ NPI 1063956779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2020 W COLORADO AVE, Colorado Springs, CO 80904
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Other Names 1

Doing Business AsDavita Medical Group

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNYE GARMAN PA
Physician Assistant (Medical)
2020 W COLORADO AVE, SUITE 201
COLORADO SPRINGS, CO 80904
El Paso County (719) 473-3606
JAMIESON D KENNEDY MD
Family Medicine
2020 W COLORADO AVE, STE 203
COLORADO SPRINGS, CO 80904
El Paso County (719) 473-2368
ADVANCED MEDICAL MASSAGE INC
Massage Therapist
2020 W COLORADO AVE, STE 101
COLORADO SPRINGS, CO 80904
El Paso County (719) 634-0708
MS. RHODA GAYLE FRIEND NP-C
Nurse Practitioner (Family)
2020 W COLORADO AVE
COLORADO SPRINGS, CO 80904
El Paso County (719) 632-9699
BONNIE THOMPSON LMT
Massage Therapist
2020 W COLORADO AVE, STE 101
COLORADO SPRINGS, CO 80904
El Paso County (719) 634-0708
ACUPUNCTURE AND CHINESE MEDICINE INC
Acupuncturist
2020 W COLORADO AVE, B-204
COLORADO SPRINGS, CO 80904
El Paso County (719) 634-1669
MS. DIANA VAUN ADAIR LMT, CNMT
Massage Therapist
2020 W COLORADO AVE, SUITE 103
COLORADO SPRINGS, CO 80904
El Paso County (719) 337-9575
KRIS FISER
Specialist
2020 W COLORADO AVE
COLORADO SPRINGS, CO 80904
El Paso County (719) 648-4806

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 Davita Medical Group Colorado Springs, LLC's NPI number?

The NPI number for Davita Medical Group Colorado Springs, LLC is 1063956779. It was assigned to this organization in the NPPES registry on December 14, 2016. The provider is doing business as Davita Medical Group.

Where is Davita Medical Group Colorado Springs, LLC located?

Davita Medical Group Colorado Springs, LLC is located at 2020 W Colorado Ave Ste 100, Colorado Springs, CO 80904. The listed phone number is (719) 473-3606.

What is Davita Medical Group Colorado Springs, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Davita Medical Group Colorado Springs, LLC was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.