Cheyenne Kidney and Dialysis Clinic PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHEYENNE KIDNEY AND DIALYSIS CLINIC PC

Practice address

2301 House Ave
Suite 201
Cheyenne, WY 82001-3177

Phone

(307) 635-9131

Fax

(307) 637-8300

NPI assigned

Sep 2, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean A Halpern, MDNPI 1629063094

Title

Ceo

Phone

(307) 635-9131

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Associates In Internal Medicine PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean A Halpern, MD

  • Nephrology Physician
  • Cheyenne, WY
  • NPI 1629063094
  NPD Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235231028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 201",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013177",
            "telephone_number": "307-635-9131",
            "fax_number": "307-637-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOUSE AVE",
            "address_2": "SUITE 201",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013177",
            "telephone_number": "307-635-9131",
            "fax_number": "307-637-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE KIDNEY AND DIALYSIS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HALPERN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-635-9131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ3266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05826001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associates In Internal Medicine PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.