Active NPI
Thomas Paul Kasenberg, D.O.
- Family Medicine Physician
- Loveland, CO
National Provider Identifier
1114976669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23248
- Practice address
- 295 E 29TH St
Loveland, CO 80538-2743 - Phone
- (970) 669-6000
- Fax
- (970) 669-6002
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23248 | CO | Primary |
Addresses
Primary practice location
295 E 29TH St
Loveland, CO 80538-2743
Mailing address
295 E 29TH St
Loveland, CO 80538-2743
Phone (970) 669-6000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84132889801 | Other | PACIFICARE | |
| 01232487 | Medicaid | CO | |
| 841328898005 | Other | ROCKY MOUNTAIN HEALTH PLA | |
| 84132889802 | Other | PACIFICARE | |
| 84132889801 | Other | SECURE HORIZONS | |
| 84132889802 | Other | SECURE HORIZONS |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23248 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1114976669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 E 29TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382743",
"telephone_number": "970-669-6000",
"fax_number": "970-669-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 E 29TH ST",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382743",
"telephone_number": "970-669-6000",
"fax_number": "970-669-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASENBERG",
"first_name": "THOMAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "23248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "84132889801",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01232487",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MOUNTAIN HEALTH PLA",
"identifier": "841328898005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "84132889802",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "84132889801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HORIZONS",
"identifier": "84132889802",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.