Pediatrics 5280 PC
Pediatrics 5280 PC is a healthcare organization registered as Primary Care Clinic/Center in Centennial, CO, holding Type 2 (organization) NPI 1629030689 since 2006. The authorized official on file is Robert Stapp, President Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1629030689 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatrics 5280 PC |
| Other name | <Unavail> |
| Practice address | 9094 E MINERAL AVE, SUITE 120, Centennial, CO, 80112 |
| Phone | 3037795437 |
| Fax | 3036899628 |
| Enumeration date | 2006-04-05 |
| Last updated in NPPES | 2008-07-08 |
Authorized official
| Name | Robert Stapp |
|---|---|
| Title | President Physician |
| Phone | 3037795437 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4013280 | Medicaid | CO | — |
Copy-ready billing details
Provider: Pediatrics 5280 PC NPI: 1629030689 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 9094 E MINERAL AVE, SUITE 120, Centennial, CO, 80112
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1356303309 | Michele Wallendal | Individual | Pediatrics Physician | Centennial, CO |
| 1134181183 | John Bosley | Individual | Pediatrics Physician | Centennial, CO |
| 1952363905 | Robert Stapp | Individual | Pediatrics Physician | Centennial, CO |
| 1023115490 | Scott Smith | Individual | Pediatric Dentistry | Centennial, CO |
| 1912004383 | John Rubenstrunk | Individual | Pediatric Dentistry | Centennial, CO |
| 1538268917 | James Lessig | Individual | Oral and Maxillofacial Surgery (Dentist) | Centennial, CO |
| 1437221942 | Daniel Feiten | Individual | Pediatric Adolescent Medicine Physician | Centennial, CO |
| 1033281548 | Constance Giarratana | Individual | Pediatric Adolescent Medicine Physician | Centennial, CO |
Verify this record
Cross-check NPI 1629030689 against the authoritative CMS record: view Pediatrics 5280 PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Pediatrics 5280 PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-08.