Active NPI
Kelly Clements, DVM
- Veterinarian
- Thornton, CO
National Provider Identifier
1043639909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 6182
- Practice address
- 860 E 131St PL
Thornton, CO 80241-1130 - Phone
- (303) 204-5678
- NPI assigned
- Apr 8, 2014
- Last updated
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 6182 | CO | Primary |
Addresses
Primary practice location
860 E 131St PL
Thornton, CO 80241-1130
Mailing address
860 E 131St Place
Thornton, CO 80241
Phone (303) 204-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174M00000X | Other | CO | SELF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6182 | CO | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1043639909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E 131ST PLACE",
"city": "THORNTON",
"state": "CO",
"postal_code": "80241",
"telephone_number": "303-204-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E 131ST PL",
"city": "THORNTON",
"state": "CO",
"postal_code": "802411130",
"telephone_number": "303-204-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "CO",
"license": "6182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF",
"identifier": "174M00000X",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
- Cammie J Clark, ED. SPECIALIST
- Denise Clark
- Cassandra Clayton
- Kristen Elaine Cleavelin, FNP-C
- Tracy Ann Clemans, PSYD
- Mary Ann Clements
- Jeremiah Cleveland
- Clinica Campesina Family Health Services (Clinica Family Health)
- Clinica Campesina Family Health Services (Clinica Family Health)
- Clinica Campesina Family Health Services (Clinica Campesina - Thornton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.