Kieca MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

40224 Issued in CO

Legal business name

KIECA MD PLLC

Practice address

2050 South Main
Unit B
Delta, CO 81416

Phone

(970) 874-4473

Fax

(970) 874-8681

NPI assigned

Sep 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Kieca Craig, MD

Title

Owner

Phone

(970) 856-3747

Specialties & licenses 1

Addresses

Other names 1

• Grand Mesa Family Practice Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Joseph Bennett Jr., M.D.

  • Family Medicine Physician
  • Canon City, CO
  • NPI 1053479402
  NPD
• Debra J Smith, MD

  • Family Medicine Physician
  • Delta, CO
  • NPI 1215965728
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1013103373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SE FRONTIER AVE",
            "address_2": "SUITE A-1",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814134020",
            "telephone_number": "970-856-3747",
            "fax_number": "970-856-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SOUTH MAIN",
            "address_2": "UNIT B",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "81416",
            "telephone_number": "970-874-4473",
            "fax_number": "970-874-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIECA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KIECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-856-3747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "40224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Mesa Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Kasarda, MD
• Courtney N Keller
• Ken Kellow III, PHARM.D
• David Alan Kessler, PT ASSISTANT
• Samuel J Kevan, M.D.
• Mary Kleinsorge, D. C.
• Tyler Forrest Knight, PHARM.D
• John P Knutson, MD
• Sara W Knutson, MD
• Maxim A Kondratenko, DDS

• Primary Care Clinic/Center in Delta, CO
• Providers in Delta, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.