Individual provider Active NPI

Douglas Kory Swindell, OD

  • Corneal and Contact Management Optometrist
  • Thornton, CO
National Provider Identifier
1124094164
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1974 Issued in CO
Practice address
1281 E 120TH Ave
Suite a
Thornton, CO 80233-5731
Phone
(303) 255-1785
Fax
(720) 929-0489
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1974 CO Primary

Addresses

Primary practice location

1281 E 120TH Ave
Suite a
Thornton, CO 80233-5731

Mailing address

1281 E 120TH Ave
Suite a
Thornton, CO 80233-5731
Phone (303) 255-1785

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
1974COMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1124094164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 E 120TH AVE",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335731",
            "telephone_number": "303-255-1785",
            "fax_number": "720-929-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 E 120TH AVE",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335731",
            "telephone_number": "303-255-1785",
            "fax_number": "720-929-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINDELL",
        "first_name": "DOUGLAS",
        "middle_name": "KORY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.