Individual provider Active NPI

Jane S Kano

  • General Practice Physician
  • Denver, CO
National Provider Identifier
1326031949
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25648 Issued in CO
Practice address
1255 19TH St
Suite 102
Denver, CO 80202-1459
Phone
(303) 861-4855
Fax
(303) 861-2484
NPI assigned
Aug 30, 2005
Last updated
Oct 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 25648 CO Primary

Addresses

Primary practice location

1255 19TH St
Suite 102
Denver, CO 80202-1459

Mailing address

1255 19TH St
Suite 102
Denver, CO 80202-1459
Phone (303) 861-4855

Other identifiers 1

IdentifierTypeStateIssuer
01256486MedicaidCO

Other names 1

  • Jane Kimiko Suekama Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25648COMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1326031949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 19TH ST",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021459",
            "telephone_number": "303-861-4855",
            "fax_number": "303-861-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 19TH ST",
            "address_2": "SUITE 102",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021459",
            "telephone_number": "303-861-4855",
            "fax_number": "303-861-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANO",
        "first_name": "JANE",
        "middle_name": "S",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "25648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01256486",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SUEKAMA",
            "middle_name": "KIMIKO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 2, 2008; 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.