PEDIATRICS 5280, PC
NPI 1134545395
Pediatrics in Castle Rock, CO

Active since March 12, 2014CLIA 06D0511679 · Waiver
2352 MEADOWS BLVD, SUITE 150, CASTLE ROCK, CO 80109(303) 779-5437 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatrics 5280, Pc NPPES

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

PEDIATRICS 5280, PC (NPI 1134545395), doing business as Pediatrics Dtc, Pc, is a healthcare organization registered as a pediatrics in Castle Rock, Colorado and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Mike Ripperton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1134545395
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS 5280, PC
Location Address2352 MEADOWS BLVD, SUITE 150Castle Rock, CO 80109
Mailing Address9094 E Mineral Cir, Ste 120Centennial, CO 80112-7200
Organization SubpartNo
Authorized OfficialMike RippertonAdministrator · (303) 779-5437
Enumeration DateMarch 12, 2014
NPI 1134545395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2352 MEADOWS BLVD, Castle Rock, CO 80109

Other Names 1

Former Legal Business NamePediatrics Dtc, Pc

Other Identifiers 1

Medicaid04013280CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 06D0511679

Pediatrics 5280, PC · Centennial, CO
Active · expires Feb 24, 2028
CLIA Number06D0511679
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorDr. Julie C. Deckerman
Laboratory Phone(303) 779-5437
Laboratory LocationPediatrics 5280, PC9094 E Mineral Ave, Suite 120, Centennial, CO 80112
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Pediatrics
2352 MEADOWS BLVD, SUITE 170
CASTLE ROCK, CO 80109
Otolaryngology (Facial Plastic Surgery)
2352 MEADOWS BLVD, SUITE 290
CASTLE ROCK, CO 80109
Nurse Practitioner (Women's Health)
2352 MEADOWS BLVD, SUITE 300
CASTLE ROCK, CO 80109
Family Medicine
2352 MEADOWS BLVD, STE. 300
CASTLE ROCK, CO 80109
Obstetrics & Gynecology
2352 MEADOWS BLVD, SUITE 300
CASTLE ROCK, CO 80109
Specialist
2352 MEADOWS BLVD, 290
CASTLE ROCK, CO 80109
Orthopaedic Surgery
2352 MEADOWS BLVD, SUITE 300
CASTLE ROCK, CO 80109
Internal Medicine (Hematology & Oncology)
2352 MEADOWS BLVD, SUITE 300
CASTLE ROCK, CO 80109

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 Pediatrics 5280, PC's NPI number?

The NPI number for Pediatrics 5280, PC is 1134545395. It was assigned to this organization in the NPPES registry on March 12, 2014. The provider was formerly known as Pediatrics Dtc, PC.

Where is Pediatrics 5280, PC located?

Pediatrics 5280, PC is located at 2352 Meadows Blvd Suite 150, Castle Rock, CO 80109. The listed phone number is (303) 779-5437.

What is Pediatrics 5280, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatrics 5280, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0511679) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatrics 5280, PC was last updated on March 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.