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460TH MEDGRP-BUCKLEY
NPI 1174507420
Clinic/Center - Military/U.S. Coast Guard Outpatient in Aurora, CO

Active since November 30, 2005
275 S ASPEN ST STOP 89, AURORA, CO 80011(720) 277-9493 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, May 29, 2025, Dec 14, 2022 (3 updates tracked since 2022).

About 460th Medgrp-buckley NPPES

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

460TH MEDGRP-BUCKLEY (NPI 1174507420), doing business as 460th Medical Group, is a healthcare organization registered as a military/u.s. coast guard outpatient in Aurora, Colorado and active in the NPI registry since November 2005. The organization maintains a secondary practice location in Aurora and lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1174507420
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name460TH MEDGRP-BUCKLEY
Location Address275 S ASPEN ST STOP 89Aurora, CO 80011-9562
Mailing Address275 S Aspen St Stop 89Aurora, CO 80011-9562 · (720) 277-9493
Phone(720) 277-9493
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateNovember 30, 2005
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1174507420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
275 S ASPEN ST STOP 89, Aurora, CO 80011
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Other Names 1

Doing Business As460th Medical Group

Secondary Practice Location 1

Location 1275 S Aspen St, Stop 89Aurora, CO 80011-9562 · Phone (720) 847-9288 · Fax (720) 847-9294

Other Identifiers 2

Other1932206786CO · Nppes
Other06-16790CO · Ncpdp

Other Providers at the Same Location NPPES 14

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

JESSICA MARIA YOOS MSW
Social Worker (Clinical)
275 S ASPEN ST STOP 89
AURORA, CO 80011
Arapahoe County (720) 847-6451
MS. MEAGAN ELIZABETH VINCENZ LCSW
Social Worker (Clinical)
275 S ASPEN ST STOP 89
BUCKLEY AFB, CO 80011
Arapahoe County No phone listed
DR. DANIEL MCCOY REGNER DNP, FNP-BC, WHNP-BC
Nurse Practitioner (Family)
275 S ASPEN ST STOP 89
AURORA, CO 80011
Arapahoe County (720) 847-7673
MRS. KELSEY ALAYNE AMBLER WHNP-BC
Nurse Practitioner (Women's Health)
275 S ASPEN ST STOP 89
BUCKLEY AFB, CO 80011
Arapahoe County (719) 526-2273
DR. LORIE SHARYL GOSE PSY.D.
Psychologist (Clinical)
275 S ASPEN ST STOP 89
BUCKLEY AFB, CO 80011
Arapahoe County (720) 847-6451
ROBERT N DIPUPPO IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
275 S ASPEN ST STOP 89
BUCKLEY AFB, CO 80011
Arapahoe County (720) 847-9355
DR. JENNA M. PRESTON PSY.D, LP, ATR-BC
Psychologist
275 S ASPEN ST STOP 89
AURORA, CO 80011
Arapahoe County (720) 847-7492
MRS. ASHLEY LYNN INGERSOLL PA-C
Physician Assistant
275 S ASPEN ST STOP 89
BUCKLEY AFB, CO 80011
Arapahoe County (720) 847-6486

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 460th Medgrp-Buckley's NPI number?

The NPI number for 460th Medgrp-Buckley is 1174507420. It was assigned to this organization in the NPPES registry on November 30, 2005. The provider is doing business as 460th Medical Group.

Where is 460th Medgrp-Buckley located?

460th Medgrp-Buckley is located at 275 S Aspen St Stop 89, Aurora, CO 80011. The listed phone number is (720) 277-9493.

What is 460th Medgrp-Buckley's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 460th Medgrp-Buckley was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.