OrganizationActive
Roots Medical, LLC
NPI 1063805752 · Family Medicine Physician · Centennial, CO
Provider details
- NPI number
- 1063805752
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Dark, Office Manager(720) 729-0108
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6091 S Quebec St
Suite 200
Centennial, CO 80111
Phone: (720) 390-5148
Fax: (720) 729-0108
Street-level locationGet directions
Mailing address
6091 S Quebec St
Centennial, CO 80111
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2018-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.