Kaiser Permanente

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

165844 Issued in CO

Legal business name

KAISER PERMANENTE

Practice address

2045 Franklin St
Denver, CO 80205-5437

Phone

(303) 861-3614

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Jeremy Michael Mostek, BSN

Title

RN

Phone

(303) 861-3614

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1033399258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S CHESTER CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472356",
            "telephone_number": "303-317-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "303-861-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MOSTEK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "303-861-3614",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CO",
            "license": "165844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente
• Kaiser Permanente

• Multi-Specialty Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.