NPIMap

Organization Active NPI

Kimberly C Stone MD PC

  • Dermatology Physician
  • Englewood, CO
National Provider Identifier
1053597849
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
38869 Issued in CO
Legal business name
KIMBERLY C STONE MD PC
Practice address
3701 S Clarkson St
Suite 300
Englewood, CO 80113-3958
Phone
(303) 806-8600
Fax
(303) 866-8629
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Kimberly C Stone, MDNPI 1093819369
Title
Owner
Phone
(303) 806-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 38869 CO Primary

Addresses

Primary practice location

3701 S Clarkson St
Suite 300
Englewood, CO 80113-3958

Mailing address

3701 S Clarkson St
Suite 300
Englewood, CO 80113-3958
Phone (303) 806-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000508 CO Part B Supplier - Clinic/Group Practice 5294813614 Receives reassigned benefits from 2 practitioners
Practice locations: Englewood, CO

National Provider Directory

National Provider Directory

Locations

3701 S Clarkson St
Ste 320
Englewood, CO 80113
Phone (303) 740-4883

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1053597849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST",
            "address_2": "SUITE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133958",
            "telephone_number": "303-806-8600",
            "fax_number": "303-866-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST",
            "address_2": "SUITE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133958",
            "telephone_number": "303-806-8600",
            "fax_number": "303-866-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY C STONE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-806-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "38869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.