Individual provider Active NPI

Dennis Veen

  • Contractor
  • Brighton, CO
National Provider Identifier
1134576747
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
2303GK Issued in CO
Practice address
2195 E Egbert St
Brighton, CO 80601-2538
Phone
(303) 659-4148
Fax
(303) 659-5370
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 2303GK CO Primary

Addresses

Primary practice location

2195 E Egbert St
Brighton, CO 80601-2538

Mailing address

2195 E Egbert St
Brighton, CO 80601-2538
Phone (303) 659-4148

Other identifiers 1

IdentifierTypeStateIssuer
24920658MedicaidCO

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
2303GKCOMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1134576747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012538",
            "telephone_number": "303-659-4148",
            "fax_number": "303-659-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 E EGBERT ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806012538",
            "telephone_number": "303-659-4148",
            "fax_number": "303-659-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEEN",
        "first_name": "DENNIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CO",
            "license": "2303GK",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24920658",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.