Active NPI
Larry D Underwood MD
- Ophthalmology Physician
- Wheat Ridge, CO
National Provider Identifier
1154465342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20049
- Legal business name
- LARRY D UNDERWOOD MD
- Practice address
- 7920 W 44TH Ave
Wheat Ridge, CO 80033-4506 - Phone
- (303) 424-3206
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry D Underwood, MD
- Title
- Physician
- Phone
- (303) 424-3206
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20049 | CO | Primary |
Addresses
Primary practice location
7920 W 44TH Ave
Wheat Ridge, CO 80033-4506
Mailing address
7920 W 44TH Ave
Wheat Ridge, CO 80033-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22558764 | Medicaid | CO |
Other names 1
- LARRY D UNDERWOOD MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Wheat Ridge, CO
- NPI 1366439838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254787200000",
"number": "1154465342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7920 W 44TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 W 44TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334506",
"telephone_number": "303-424-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY D UNDERWOOD MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2009-10-06",
"status": "A",
"authorized_official_last_name": "UNDERWOOD",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "303-424-3206",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CO",
"license": "20049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22558764",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LARRY D UNDERWOOD MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.