Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Our Lady of Grace Medical Clinic PC

Organization Family Medicine Physician · NPI 1356474647

Our Lady of Grace Medical Clinic PC provides Family Medicine Physician services in Northglenn, Colorado. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

992 W 104th Ave
Northglenn, CO 80234-3801 Not confirmed with CMS for 18 years — call before visiting
Phone: (303) 531-5181
Fax: (303) 531-5185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1356474647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carlos Vera — Ceo · (303) 531-5181
NPI enumeratedMarch 14, 2007
Last updated in NPPESMarch 4, 2008
Mailing addressPo Box 350968, Westminster, CO 80035-0968

Other providers in Northglenn