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MOUNTAINLAND PEDIATRICS PC
NPI 1174605489
Pediatrics in Denver, CO

Active since October 19, 2006CLIA 06D0672594 · Waiver
8889 FOX DRIVE, SUITE A, DENVER, CO 80260(303) 430-0823(303) 426-9581 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountainland Pediatrics Pc NPPES

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

MOUNTAINLAND PEDIATRICS PC (NPI 1174605489) is a healthcare organization registered as a pediatrics in Denver, Colorado and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Susan E Spoerke, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1174605489
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMOUNTAINLAND PEDIATRICS PC
Location Address8889 FOX DRIVE, SUITE ADenver, CO 80260-8842
Mailing Address8889 Fox Drive, Suite ADenver, CO 80260-8842 · (303) 430-0823 · Fax (303) 426-9581
Phone(303) 430-0823
Fax(303) 426-9581
Organization SubpartNo
Authorized OfficialSusan E SpoerkePresident/ceo · (303) 430-0823
Enumeration DateOctober 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174605489 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.
8889 FOX DRIVE, Denver, CO 80260
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Other Identifiers 2

Other0600672594CO · Clia
Medicaid04008363CO

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 06D0672594

Mountainland Pediatrics · Denver, CO
Active · expires Dec 30, 2027
CLIA Number06D0672594
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorStarr Wedemeyer
Laboratory Phone(303) 853-3429
Laboratory LocationMountainland Pediatrics8889 Fox Dr, Suite A, Denver, CO 80260
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MARY ANNE MCPHERSON PA C
Physician Assistant (Medical)
8889 FOX DRIVE, SUITE A
DENVER, CO 80260
Adams County (303) 430-0823

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 Mountainland Pediatrics PC's NPI number?

The NPI number for Mountainland Pediatrics PC is 1174605489. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Mountainland Pediatrics PC located?

Mountainland Pediatrics PC is located at 8889 Fox Drive Suite A, Denver, CO 80260. The listed phone number is (303) 430-0823.

What is Mountainland Pediatrics PC's specialty?

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

Does Mountainland Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0672594) is associated with this NPI, valid through December 30, 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 Mountainland Pediatrics PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.