NPIMap

Individual provider Active NPI

Richard Kent Book, DO

  • Family Medicine Physician
  • La Junta, CO
National Provider Identifier
1164579199
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31834 Issued in CO
Practice address
2317 San Juan Ave
Lajunta, CO 81050
Phone
(719) 383-2325
Fax
(719) 383-2327
NPI assigned
Jan 4, 2007
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31834 CO Primary

Addresses

Primary practice location

2317 San Juan Ave
Lajunta, CO 81050

Mailing address

2317 San Juan Ave
Lajunta, CO 81050
Phone (719) 383-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000372 CO Practitioner - Family Practice 4284686064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prowers County Hospital DistrictGroup PAC ID 4486568508, 18 clinicians

Practice addresses (Care Compare)

403 Kendall Dr
Lamar, CO 81052-3953
Phone (719) 336-6767

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Valley Family Practice LLC Family Medicine Current Accepting new patients
Prowers County Hospital District CurrentSince Nov 11, 2022 Accepting new patients
Prowers County Hospital District Past Accepting new patients

Locations

2317 San Juan Ave
La Junta, CO 81050
Phone (719) 383-2325

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

403 Kendall Dr
Lamar, CO 81052
Phone (719) 336-6767

215 Maple Ave
Las Animas, CO 81054
Phone (319) 456-1243

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1164579199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 SAN JUAN AVE",
            "city": "LAJUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-383-2325",
            "fax_number": "719-383-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SAN JUAN AVE",
            "city": "LAJUNTA",
            "state": "CO",
            "postal_code": "81050",
            "telephone_number": "719-383-2325",
            "fax_number": "719-383-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOK",
        "first_name": "RICHARD",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.