Active NPI
James Kani, O.D.
- Optometrist
- Denver, CO
National Provider Identifier
1104851773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1601
- Practice address
- 5790 W 44TH Ave
Denver, CO 80212-7340 - Phone
- (303) 421-4422
- Fax
- (303) 431-1457
- NPI assigned
- Jul 12, 2006
- Last updated
- Apr 10, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1601 | CO | Primary |
Addresses
Primary practice location
5790 W 44TH Ave
Denver, CO 80212-7340
Mailing address
5790 W 44TH Ave
Denver, CO 80212-7340
Phone (303) 421-4422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08016016 | Medicaid | CO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601 | CO | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1104851773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5790 W 44TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802127340",
"telephone_number": "303-421-4422",
"fax_number": "303-431-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 W 44TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802127340",
"telephone_number": "303-421-4422",
"fax_number": "303-431-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANI",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "1601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08016016",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.