South Denver Regen INC
Clinic/Center in Greenwood Village, CO. Organization (NPI-2).
Details
- NPI
- 1962024653
- Entity type
- Organization (NPI-2)
- Legal business name
- South Denver Regen INC
- Organization subpart
- No
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
8765 E Orchard Rd Ste 702Greenwood Village, CO 80111-5009
Phone 303-738-0390 · Fax 866-238-2721
Mailing address
8765 E Orchard Rd Ste 702Greenwood Village, CO 80111-5009
Phone 303-738-0390 · Fax 866-238-2721
Authorized official
Shawn Johonnesson
President
3037380390
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Clinic/Center providers in Greenwood Village · All 3,342 providers in Greenwood Village
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