Individual provider Active NPI

Christian Martin Stob, D.O.

  • General Practice Physician
  • Littleton, CO
National Provider Identifier
1407072861
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
58-002193 Issued in OH
Practice address
191 E Orchard Rd
Suite 200
Littleton, CO 80121-8000
Phone
(303) 788-3100
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 58-002193 OH Primary
Family Medicine Physician 207Q00000X 48943 CO

Addresses

Primary practice location

191 E Orchard Rd
Suite 200
Littleton, CO 80121-8000

Mailing address

504 Pearl St
Apartment 16
Denver, CO 80203-3853
Phone (918) 640-7658

Other identifiers 3

IdentifierTypeStateIssuer
TL-2844OtherCOTRAINING
48943OtherCOSTATE MEDICAL LICENSE
58-002193OtherOHTRAINING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000947 CO Practitioner - Family Practice 3173719697 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
48943COMDFamily Medicine Physician
58-002193OHMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Aug 8, 2010 Accepting new patients
Denver Health and Hospital Authority General Practice CurrentSince Aug 8, 2010 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1407072861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 PEARL ST",
            "address_2": "APARTMENT 16",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802033853",
            "telephone_number": "918-640-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ORCHARD RD",
            "address_2": "SUITE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801218000",
            "telephone_number": "303-788-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOB",
        "first_name": "CHRISTIAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "58-002193",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING",
            "identifier": "TL-2844",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "48943",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING LICENSE",
            "identifier": "58-002193",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.