Organization Active NPI

Carolyn Burkhardt MD LLC

  • Neurology Physician
  • Greenwood Village, CO
National Provider Identifier
1164558995
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28021 Issued in CO
Legal business name
CAROLYN BURKHARDT MD LLC
Practice address
5200 DTC Pkwy
#280
Greenwood Village, CO 80111-2709
Phone
(720) 200-5454
Fax
(720) 200-5460
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Dr. Carolyn Ruth Burkhardt, M.D.
Title
Owner
Phone
(720) 200-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 28021 CO Primary

Addresses

Primary practice location

5200 DTC Pkwy
#280
Greenwood Village, CO 80111-2709

Mailing address

5200 DTC Pkwy
#280
Greenwood Village, CO 80111-2709
Phone (720) 200-5454

Other identifiers 1

IdentifierTypeStateIssuer
01280213MedicaidCO

National Provider Directory

National Provider Directory

Locations

8200 E Belleview Ave
Ste 334C
Greenwood Village, CO 80111
Phone (303) 337-5600

8200 E Belleview Ave
Ste 385E
Greenwood Village, CO 80111
Phone (303) 752-4700

5200 Dtc Pkwy
Ste 280
Greenwood Village, CO 80111
Phone (720) 200-5454

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1164558995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DTC PKWY",
            "address_2": "#280",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112709",
            "telephone_number": "720-200-5454",
            "fax_number": "720-200-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DTC PKWY",
            "address_2": "#280",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112709",
            "telephone_number": "720-200-5454",
            "fax_number": "720-200-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN BURKHARDT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "BURKHARDT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-200-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "28021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01280213",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.