ROOTS MEDICAL LLC NPI 1063805752

NPI Information

  • NPI: 1063805752
  • Provider Name: ROOTS MEDICAL, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 6091 S QUEBEC ST
    SUITE 200
    CENTENNIAL, CO
    ZIP 80111
  • Phone: (720) 390-5148

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NPI Details

ROOTS MEDICAL, LLC is a family medicine in Centennial, CO. The provider is 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. ROOTS MEDICAL, LLC NPI is 1063805752. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6091 S QUEBEC ST
SUITE 200
CENTENNIAL, CO
ZIP 80111
Phone: (720) 390-5148
Fax: (720) 729-0108

The provider's authorized official is Matthew Norman Dark .
The authorized official title is Office Manager and has the following contact phone number (720) 729-0108.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 3/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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