NPIMap

Organization Active NPI

Kaiser Permanente

  • Ambulatory Surgical Clinic/Center
  • Denver, CO
National Provider Identifier
1255877635
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1640198 Issued in CO
Legal business name
KAISER PERMANENTE
Practice address
1451 24TH Street
Apt 146
Denver, CO 80205
Phone
(413) 885-0840
NPI assigned
Jan 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Mr. Matthew Raymond Provost, RN
Title
Registered Nurse
Phone
(413) 885-0840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1640198 CO Primary

Addresses

Primary practice location

1451 24TH Street
Apt 146
Denver, CO 80205

Mailing address

1451 24TH Street
Apt 146
Denver, CO 80205
Phone (413) 885-0840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1255877635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 24TH STREET",
            "address_2": "APT 146",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205",
            "telephone_number": "413-885-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 24TH STREET",
            "address_2": "APT 146",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205",
            "telephone_number": "413-885-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER PERMANENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "PROVOST",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "413-885-0840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "1640198",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 10, 2017; 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.