# COLORADO PAIN PRACTICE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Colorado Pain Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487289096
- **Authorized official:** ROBERT Z MOGHIM MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (303) 888-2219

## Contact information

- **Practice address:** 355 UNION BLVD STE 304, LAKEWOOD, CO 80228-6516
- **Practice address phone:** (303) 984-4826
- **Practice address fax:** (303) 277-0714
- **Mailing address:** 1355 S COLORADO BLVD STE 700, DENVER, CO 80222-3325
- **Mailing address phone:** (303) 277-0700
- **Mailing address fax:** (303) 277-0714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/04/2020
- **Last updated:** 06/11/2021