Individual provider Active NPI

Doniyor Kamilov

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1114376480
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
B-10047 Issued in CO
Practice address
17989 E Dickenson PL
Aurora, CO 80013-5909
Phone
(720) 207-8137
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X B-10047 CO Primary

Addresses

Primary practice location

17989 E Dickenson PL
Aurora, CO 80013-5909

Mailing address

17989 E Dickenson PL
Aurora, CO 80013-5909
Phone (720) 207-8137

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

State licenses

LicenseStateTypeSpecialty
B-10047COMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1114376480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17989 E DICKENSON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135909",
            "telephone_number": "720-207-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17989 E DICKENSON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800135909",
            "telephone_number": "720-207-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMILOV",
        "first_name": "DONIYOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "B-10047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.