Individual provider Active NPI

Kenneth R Hovland, MD

  • Ophthalmology Physician
  • Denver, CO
National Provider Identifier
1245237395
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14659 Issued in CO
Practice address
850 E Harvard Ave
Suite 155
Denver, CO 80210-5073
Phone
(303) 778-1910
Fax
(303) 698-2694
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14659 CO Primary

Addresses

Primary practice location

850 E Harvard Ave
Suite 155
Denver, CO 80210-5073

Mailing address

850 E Harvard Ave
Suite 155
Denver, CO 80210-5073
Phone (303) 778-1910

Other identifiers 1

IdentifierTypeStateIssuer
04011904MedicaidCO

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14659COMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1245237395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 155",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-778-1910",
            "fax_number": "303-698-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "SUITE 155",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-778-1910",
            "fax_number": "303-698-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVLAND",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "14659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04011904",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.