Organization Active NPI

Kids Wheels LLC

  • Non-emergency Medical Transport (VAN)
  • Lakewood, CO
National Provider Identifier
1093196198
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
06000608 Issued in CO
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06000608MedicaidCO
50096OtherPUC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.