Active NPI
Dennis Marvin Eicher, D. O.
- Family Medicine Physician
- New Castle, CO
National Provider Identifier
1447352422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22427
- Practice address
- 820 Castle Valley Blvd
Suite 210
New Castle, CO 81647-9453 - Phone
- (970) 984-0651
- Fax
- (970) 984-0402
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22427 | CO | Primary |
Addresses
Primary practice location
820 Castle Valley Blvd
Suite 210
New Castle, CO 81647-9453
Mailing address
820 Castle Valley Blvd
Suite 210
New Castle, CO 81647-9453
Phone (970) 984-0651
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01224278 | Medicaid | CO | |
| EI198728 | Other | BCBS INDIVIDUAL | |
| EI198728 | Other | CO | BCBS INDIVIDUAL # |
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 Osteopathy
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New Castle, CO
- NPI 1811192610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1447352422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 CASTLE VALLEY BLVD",
"address_2": "SUITE 210",
"city": "NEW CASTLE",
"state": "CO",
"postal_code": "816479453",
"telephone_number": "970-984-0651",
"fax_number": "970-984-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 CASTLE VALLEY BLVD",
"address_2": "SUITE 210",
"city": "NEW CASTLE",
"state": "CO",
"postal_code": "816479453",
"telephone_number": "970-984-0651",
"fax_number": "970-984-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHER",
"first_name": "DENNIS",
"middle_name": "MARVIN",
"name_prefix": "Mr.",
"credential": "D. O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "22427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01224278",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL",
"identifier": "EI198728",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL #",
"identifier": "EI198728",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.