Active NPI
Kenneth Allen Nierman, BS
- Other Technician
- Westminster, CO
National Provider Identifier
1063880300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 6871 Xavier Cir Unit 2
Westminster, CO 80030-5774 - Phone
- (720) 334-7115
- NPI assigned
- Sep 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
6871 Xavier Cir Unit 2
Westminster, CO 80030-5774
Mailing address
6871 Xavier Cir Unit 2
Westminster, CO 80030-5774
Phone (720) 334-7115
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1063880300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6871 XAVIER CIR UNIT 2",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800305774",
"telephone_number": "720-334-7115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6871 XAVIER CIR UNIT 2",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800305774",
"telephone_number": "720-334-7115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIERMAN",
"first_name": "KENNETH",
"middle_name": "ALLEN",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-03",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.