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CASTLE ROCK PEDIATRICS PLLC
NPI 1548289614
Clinic/Center - Primary Care in Castle Rock, CO

Active since July 19, 2006CLIA 06D0705624 · Waiver
410 S WILCOX ST STE 102, CASTLE ROCK, CO 80104(303) 688-2228(303) 663-0640 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 29, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Castle Rock Pediatrics Pllc NPPES

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

CASTLE ROCK PEDIATRICS PLLC (NPI 1548289614) is a healthcare organization registered as a primary care in Castle Rock, Colorado and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists John Mark Bouchillon, Owner, as its authorized official.

NPPES Registry Identity

NPI1548289614
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCASTLE ROCK PEDIATRICS PLLC
Location Address410 S WILCOX ST STE 102Castle Rock, CO 80104-2663
Mailing Address410 S Wilcox St Ste 102Castle Rock, CO 80104-2663 · (303) 688-2228 · Fax (303) 663-0640
Phone(303) 688-2228
Fax(303) 663-0640
Organization SubpartNo
Authorized OfficialJohn Mark BouchillonOwner · (303) 688-2228
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1548289614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CO · 31685
410 S WILCOX ST STE 102, Castle Rock, CO 80104
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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 06D0705624

Castle Rock Pediatrics · Castle Rock, CO
Active · expires Dec 31, 2027
CLIA Number06D0705624
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Jennifer Anderson
Laboratory Phone(303) 688-2228
Laboratory LocationCastle Rock Pediatrics410 S Wilcox St, Suite 102, Castle Rock, CO 80104
CLIA data matches this NPI record on: Address Name Phone
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.

CATHOLIC CHARITIES OF CENTRAL COLORADO INC
Counselor
410 S WILCOX ST STE 102
CASTLE ROCK, CO 80104
Douglas County (719) 800-1833

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 Castle Rock Pediatrics PLLC's NPI number?

The NPI number for Castle Rock Pediatrics PLLC is 1548289614. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Castle Rock Pediatrics PLLC located?

Castle Rock Pediatrics PLLC is located at 410 S Wilcox St Ste 102, Castle Rock, CO 80104. The listed phone number is (303) 688-2228.

What is Castle Rock Pediatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Castle Rock Pediatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0705624) is associated with this NPI, valid through December 31, 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 Castle Rock Pediatrics PLLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.