Active NPI
Kids Wheels LLC
- Non-emergency Medical Transport (VAN)
- Lakewood, CO
National Provider Identifier
1093196198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 06000608
- Legal business name
- KIDS WHEELS LLC
- Practice address
- 1360 S Wadsworth Blvd Ste 102
Lakewood, CO 80232-5454 - Phone
- (303) 202-2700
- NPI assigned
- Jun 15, 2015
- Last updated
- Jun 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phyllis Eggert
- Title
- President
- Phone
- (303) 202-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 06000608 | CO | Primary |
Addresses
Primary practice location
1360 S Wadsworth Blvd Ste 102
Lakewood, CO 80232-5454
Mailing address
1360 S Wadsworth Blvd Ste 102
Lakewood, CO 80232-5454
Phone (303) 202-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06000608 | Medicaid | CO | |
| 50096 | Other | PUC |
National Provider Directory
National Provider DirectoryLocations
1360 S Wadsworth Blvd
Ste 102
Lakewood, CO 80232
Phone (303) 202-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434326400000",
"number": "1093196198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S WADSWORTH BLVD STE 102",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802325454",
"telephone_number": "303-202-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S WADSWORTH BLVD STE 102",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802325454",
"telephone_number": "303-202-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS WHEELS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-15",
"last_updated": "2015-06-15",
"status": "A",
"authorized_official_last_name": "EGGERT",
"authorized_official_first_name": "PHYLLIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-202-2700"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CO",
"license": "06000608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06000608",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUC",
"identifier": "50096",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
- Gerald Steele Kidd III, PA-C
- Sara M Kidd, LPC
- Kidney Center of Bear Creek LLC
- Kidney Center of Lakewood LLC (Kidney Center of Lakewood)
- Kids Overcoming, LLC
- Kidsfirst Pediatrics Prof., PLLC (KidsFirst Pediatrics)
- Andrea Kieffer, MD
- Kikta Behavioral Health LLC
- Molly Kilduff
- Lacie Killion, MA, LMFT, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.