Individual provider Active NPI

Dana Kirby Vanmarter, PRACTITIONER

  • Contractor
  • Crested Butte, CO
National Provider Identifier
1114485679
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
3199 Issued in IL
Practice address
329 Belleview Ave
Ste C
Crested Butte, CO 81224
Phone
(970) 209-5952
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 3199 IL Primary

Addresses

Primary practice location

329 Belleview Ave
Ste C
Crested Butte, CO 81224

Mailing address

PO Box 151
Crested Butte, CO 81224-0151
Phone (970) 209-5952

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
3199ILMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1114485679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812240151",
            "telephone_number": "970-209-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 BELLEVIEW AVE",
            "address_2": "STE C",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "81224",
            "telephone_number": "970-209-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANMARTER",
        "first_name": "DANA",
        "middle_name": "KIRBY",
        "credential": "PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "3199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.