Organization Active NPI

Telemedicine Provider Services

  • Emergency Medicine Physician
  • Boulder, CO
National Provider Identifier
1285124420
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
TELEMEDICINE PROVIDER SERVICES
Doing business as
Hippo Health
Practice address
1919 14TH St Ste 700
Boulder, CO 80302-5482
Phone
(303) 952-5033
NPI assigned
May 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Dr. David Wiebe, MD
Title
Owner
Phone
(720) 255-6037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1919 14TH St Ste 700
Boulder, CO 80302-5482

Mailing address

1919 14TH St Ste 700
Boulder, CO 80302-5482
Phone (303) 952-5033

Other names 1

  • Hippo Health Doing business as

National Provider Directory

National Provider Directory

Locations

1919 14th St
Ste 700
Boulder, CO 80302
Phone (303) 952-5033

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1285124420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 14TH ST STE 700",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025482",
            "telephone_number": "303-952-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 14TH ST STE 700",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025482",
            "telephone_number": "303-952-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDICINE PROVIDER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "WIEBE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-255-6037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hippo Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.