Active NPI
John B Whitaker, M.D.
- Diagnostic Radiology Physician
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2006-0257
- Practice address
- 12687 W Cedar Dr Ste 200
Lakewood, CO 80228-2014 - Phone
- (303) 468-1395
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2006-0257 | NM | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 27343 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 2006-0257 | NM |
Addresses
Primary practice location
12687 W Cedar Dr Ste 200
Lakewood, CO 80228-2014
Mailing address
12687 W Cedar Dr
Suite 200
Lakewood, CO 80228-2010
Phone (303) 468-1395
Other practice location 1
2490 W 26th Ave
Suite 220
Denver, CO 80211-5314
Phone (303) 433-9729
Other practice location 2
7229 S Flanders St
Centennial, CO 80016-2119
Phone (303) 887-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-0257 | NM | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vannvei LLC | Current | Accepting new patients | |
| Vannvei LLC | Current | Accepting new patients | |
| Colorado Imaging Associates P C | Diagnostic Radiology | Past | Accepting new patients |
| New Schryver LLC | Past | Accepting new patients | |
| Denver NMR, Inc | Past | Accepting new patients | |
| Twin Cities Radiology, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Schryver Medical Sales and Marketing Inc. | Past | Accepting new patients | |
| Taos Mountain Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| Mrigp Inc | Past | Accepting new patients |
Locations
1522 17th St
Lewiston, ID 83501
Phone (208) 743-8416
2841 Juniper Dr
#2
Lewiston, ID 83501
Phone (208) 848-9001
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lewiston, ID
- NPI 1881200517
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Clarkston, WA
- NPI 1124186804
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1255306726
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Denver, CO
- NPI 1699747857
-
- Specialist
- Denver, CO
- NPI 1417909235
-
- Mobile Radiology Clinic/Center
- Denver, CO
- NPI 1295849537
-
- Clinical Medical Laboratory
- Carrollton, TX
- NPI 1689025116
-
- Diagnostic Radiology Physician
- Taos, NM
- NPI 1326230939
-
- Diagnostic Radiology Physician
- Clarkston, WA
- NPI 1043260169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1013986249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12687 W CEDAR DR",
"address_2": "SUITE 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282010",
"telephone_number": "303-468-1395",
"fax_number": "303-468-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12687 W CEDAR DR STE 200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282014",
"telephone_number": "303-468-1395"
}
],
"practiceLocations": [
{
"address_1": "2490 W 26th Ave",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802115314",
"country_code": "US",
"telephone_number": "303-433-9729",
"fax_number": "303-480-0405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7229 S Flanders St",
"address_purpose": "LOCATION",
"city": "Centennial",
"state": "CO",
"postal_code": "800162119",
"country_code": "US",
"telephone_number": "303-887-5760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITAKER",
"first_name": "JOHN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "2006-0257",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "27343",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NM",
"license": "2006-0257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.