Organization Active NPI

Entercare

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1295825081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C803952 Issued in CO
Legal business name
ENTERCARE
Practice address
6795 E Tennessee Ave Ste 250
Denver, CO 80224-1609
Phone
(303) 320-6761
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mike Kim
Title
Owner
Phone
(303) 320-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X C803952 CO Primary

Addresses

Primary practice location

6795 E Tennessee Ave Ste 250
Denver, CO 80224-1609

Mailing address

6795 E Tennessee Ave Ste 250
Denver, CO 80224-1609

National Provider Directory

National Provider Directory

Locations

6795 E Tennessee Ave
Ste 250
Denver, CO 80224
Phone (303) 320-6761

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295825081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE STE 250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241609",
            "telephone_number": "303-320-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-320-6761"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "C803952",
            "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 Aug 22, 2020; 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.