Active NPI
Terrill J King-Hamm, RDH
- Specialist
- Grand Junction, CO
National Provider Identifier
1225252653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 904083
- Practice address
- 652 Terrace Dr
Grand Junction, CO 81503-8723 - Phone
- (970) 261-6535
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 904083 | CO | Primary |
Addresses
Primary practice location
652 Terrace Dr
Grand Junction, CO 81503-8723
Mailing address
652 Terrace Drive
Grand Junction, CO 81503
Phone (970) 261-6535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NOT SURE | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 904083 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225252653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 TERRACE DRIVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "81503",
"telephone_number": "970-261-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 TERRACE DR",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815038723",
"telephone_number": "970-261-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-HAMM",
"first_name": "TERRILL",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "904083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NOT SURE",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.