Organization Active NPI

DK Speedie MD LLC

  • Internal Medicine Physician
  • Eckert, CO
National Provider Identifier
1164022240
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DK SPEEDIE MD LLC
Practice address
11485 Highway 65
Eckert, CO 81418-5204
Phone
(970) 250-2459
NPI assigned
Oct 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Douglas Speedie, MDNPI 1912132556
Title
Physician/Owner
Phone
(970) 250-2459

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

11485 Highway 65
Eckert, CO 81418-5204

Mailing address

8568 Coffey Rd
Austin, CO 81410-8349
Phone (970) 250-2459

National Provider Directory

National Provider Directory

Locations

11485 Highway 65
Eckert, CO 81418
Phone (970) 361-5332

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1164022240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8568 COFFEY RD",
            "city": "AUSTIN",
            "state": "CO",
            "postal_code": "814108349",
            "telephone_number": "970-250-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11485 HIGHWAY 65",
            "city": "ECKERT",
            "state": "CO",
            "postal_code": "814185204",
            "telephone_number": "970-250-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DK SPEEDIE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SPEEDIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "970-250-2459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eckert, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.