DESERT RIVER DIRECT, PLLC
NPI 1356113682
Family Medicine in Canon City, CO

Active since October 30, 2023
1335 PHAY AVE STE A, CANON CITY, CO 81212(719) 285-8890 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 5, 2025, Oct 30, 2023 (2 updates tracked since 2023).

About Desert River Direct, Pllc NPPES

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

DESERT RIVER DIRECT, PLLC (NPI 1356113682) is a healthcare organization registered as a family medicine in Canon City, Colorado and active in the NPI registry since October 2023. The organization lists Tara L Robicheaux, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1356113682
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESERT RIVER DIRECT, PLLC
Location Address1335 PHAY AVE STE ACanon City, CO 81212-2349
Mailing Address712 Macon AveCanon City, CO 81212-3314 · (719) 285-8890
Organization SubpartNo
Authorized OfficialTara L RobicheauxBusiness Manager · (719) 285-8890
Enumeration DateOctober 30, 2023
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1356113682 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.
1335 PHAY AVE STE A, Canon City, CO 81212

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 6

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

Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Family Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212
Internal Medicine
1335 PHAY AVE STE A
CANON CITY, CO 81212

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 Desert River Direct, PLLC's NPI number?

The NPI number for Desert River Direct, PLLC is 1356113682. It was assigned to this organization in the NPPES registry on October 30, 2023.

Where is Desert River Direct, PLLC located?

Desert River Direct, PLLC is located at 1335 Phay Ave Ste A, Canon City, CO 81212. The listed phone number is (719) 285-8890.

What is Desert River Direct, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Desert River Direct, PLLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.