Provider Demographics
NPI:1609113067
Name:DENHAM, DAVID (MS, CO)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:DENHAM
Suffix:
Gender:M
Credentials:MS, CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WHITNEY RANCH DR
Mailing Address - Street 2:C-17
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2642
Mailing Address - Country:US
Mailing Address - Phone:702-898-6000
Mailing Address - Fax:702-898-6080
Practice Address - Street 1:601 WHITNEY RANCH DR
Practice Address - Street 2:C-17
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2642
Practice Address - Country:US
Practice Address - Phone:702-898-6000
Practice Address - Fax:702-898-6080
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO003963222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist