Active NPI
Karen J Sundby MD, PC
- Dermatology Physician
- Denver, CO
National Provider Identifier
1306028246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 41658
- Legal business name
- KAREN J SUNDBY MD, PC
- Practice address
- 4700 Hale Parkway
Suite 140
Denver, CO 80220-4050 - Phone
- (303) 388-8807
- Fax
- (303) 962-0315
- NPI assigned
- Dec 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karen Joy Sundby, MD, PC
- Title
- Physician Owner
- Phone
- (303) 388-8807
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 41658 | CO | Primary |
Addresses
Primary practice location
4700 Hale Parkway
Suite 140
Denver, CO 80220-4050
Mailing address
4700 Hale Parkway
Suite 140
Denver, CO 80220-4050
Phone (303) 388-8807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C805167 | Other | CO | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Denver, CO
- NPI 1912977083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395619200000",
"number": "1306028246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 HALE PARKWAY",
"address_2": "SUITE 140",
"city": "DENVER",
"state": "CO",
"postal_code": "802204050",
"telephone_number": "303-388-8807",
"fax_number": "303-962-0315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 HALE PARKWAY",
"address_2": "SUITE 140",
"city": "DENVER",
"state": "CO",
"postal_code": "802204050",
"telephone_number": "303-388-8807",
"fax_number": "303-962-0315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN J SUNDBY MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-03",
"last_updated": "2014-03-24",
"status": "A",
"authorized_official_last_name": "SUNDBY",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "303-388-8807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PC"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CO",
"license": "41658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C805167",
"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 Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.