Organization Active NPI

Timothy C Kennedy MD LLC

  • Pulmonary Disease Physician
  • Denver, CO
National Provider Identifier
1417208257
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
18011 Issued in CO
Legal business name
TIMOTHY C KENNEDY MD LLC
Practice address
2045 Ash St
Denver, CO 80207-3717
Phone
(720) 244-6340
Fax
(303) 321-7033
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Timothy C Kennedy, MD.
Title
President
Phone
(720) 244-6340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 18011 CO Primary

Addresses

Primary practice location

2045 Ash St
Denver, CO 80207-3717

Mailing address

2045 Ash St
Denver, CO 80207-3717
Phone (720) 244-6340

Other identifiers 1

IdentifierTypeStateIssuer
18011OtherCOCOLORADO MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

3464 S Willow St
#535
Denver, CO 80231

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1417208257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073717",
            "telephone_number": "720-244-6340",
            "fax_number": "303-321-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ASH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802073717",
            "telephone_number": "720-244-6340",
            "fax_number": "303-321-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C KENNEDY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-244-6340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "18011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL LICENSE",
            "identifier": "18011",
            "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 Sep 19, 2012; 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.