Individual provider Active NPI

Kyle A Sherk, MS, CPO

  • Orthotist
  • Denver, CO
National Provider Identifier
1275770810
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
LO46 Issued in OK
Practice address
1960 N Ogden St
Suite 350
Denver, CO 80218-3666
Phone
(303) 863-9090
Fax
(303) 863-7029
NPI assigned
Jan 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X LP29 OK
Orthotist 222Z00000X LO46 OK Primary

Addresses

Primary practice location

1960 N Ogden St
Suite 350
Denver, CO 80218-3666

Mailing address

1960 N Ogden St
Suite 350
Denver, CO 80218-3666
Phone (303) 863-9090

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LO46OKMDOrthotist
LP29OKMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1275770810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST",
            "address_2": "SUITE 350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183666",
            "telephone_number": "303-863-9090",
            "fax_number": "303-863-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 N OGDEN ST",
            "address_2": "SUITE 350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183666",
            "telephone_number": "303-863-9090",
            "fax_number": "303-863-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERK",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "MS, CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OK",
            "license": "LP29",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OK",
            "license": "LO46",
            "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 Oct 5, 2015; 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.