CHERRY CREEK CLINIC - PRIMARY CARE
NPI 1316551716
Family Medicine in Denver, CO

Active since September 02, 2020CLIA 06D2166905 · Waiver
400 S COLORADO BLVD STE 900, DENVER, CO 80246(303) 318-3520(303) 318-3510 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Jan 3, 2024, Sep 2, 2020 (3 updates tracked since 2020).

About Cherry Creek Clinic - Primary Care NPPES

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

CHERRY CREEK CLINIC - PRIMARY CARE (NPI 1316551716) is a healthcare organization registered as a family medicine in Denver, Colorado and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through May 27, 2027 and lists Jon Mcdaniel, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1316551716
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Location Address400 S COLORADO BLVD STE 900Denver, CO 80246-1241
Mailing Address500 Eldorado Blvd Ste 6300Broomfield, CO 80021-3422 · (303) 272-0566
Fax(303) 318-3510
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance · (303) 272-0231
Enumeration DateSeptember 2, 2020
Last NPPES UpdateJune 28, 20243 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1316551716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
400 S COLORADO BLVD STE 900, Denver, CO 80246

Other Names 1

Doing Business AsCherry Creek Clinic - Primary Care

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 06D2166905

Cherry Creek Clinic - Primary Care · Denver, CO
Active · expires May 27, 2027
CLIA Number06D2166905
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorDr. Gary Cantrell
Laboratory Phone(720) 318-3520
Laboratory LocationCherry Creek Clinic - Primary Care400 S Colorado Blvd, Suite 900, Denver, CO 80246
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 3

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

Family Medicine
400 S COLORADO BLVD STE 900
DENVER, CO 80246
Family Medicine
400 S COLORADO BLVD STE 900
DENVER, CO 80246
Nurse Practitioner (Family)
400 S COLORADO BLVD STE 900
DENVER, CO 80246

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 1316551716. It was assigned to this organization in the NPPES registry on September 2, 2020. The provider is doing business as Cherry Creek Clinic - Primary Care.

Where is Intermountain Medical Group Denver, LLC located?

Intermountain Medical Group Denver, LLC is located at 400 S Colorado Blvd Ste 900, Denver, CO 80246. The listed phone number is (303) 318-3520.

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 06D2166905) is associated with this NPI, valid through May 27, 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.