Provider Type Icon

JUDD WALTER DAWSON D.O. NPI 1457431991


NPI Information

NPI: 1457431991
Provider Name: JUDD WALTER DAWSON, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: CHEYENNE REGIONAL PHYSICIANS GROUP LLC

PECOS Registration: Yes

Address:
1801 16TH ST
GREELEY, CO
ZIP 80631
Phone: (970) 352-4121
Get Directions

Judd Walter Dawson, D.O. is a family medicine in Greeley, CO with 18 years of experience. 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. Judd Walter Dawson, D.O. NPI is 1457431991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduation Year:2006

The provider's business location address is:

1801 16TH ST
GREELEY, CO
ZIP 80631-154
Phone: (970) 352-4121
Fax: (970) 378-4315

The NPI 1457431991 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/23/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine20A10757CALIFORNIANo
2207Q00000XFamily MedicineDR-46006COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113600338MEDICAIDCOLORADO
2COA105458MEDICARE PINCOLORADO
3COAAA0169MEDICARE PINCOLORADO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.