Active NPI
Michael Samuel Frank, M.D.
- Pediatrics Physician
- Denver, CO
National Provider Identifier
1477633543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26103
- Practice address
- 2121 S Oneida St
Suite 200
Denver, CO 80224-2549 - Phone
- (303) 757-6418
- Fax
- (303) 757-2209
- NPI assigned
- Oct 16, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 26103 | CO | Primary |
Addresses
Primary practice location
2121 S Oneida St
Suite 200
Denver, CO 80224-2549
Mailing address
2121 S Oneida St
Suite 200
Denver, CO 80224-2549
Phone (303) 757-6418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01261031 | Medicaid | CO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26103 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Denver Pediatrics, PC | Pediatrics | Past | Accepting new patients |
| Southeast Denver Pediatrics, PC | Pediatrics | Past | Accepting new patients |
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": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477633543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S ONEIDA ST",
"address_2": "SUITE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802242549",
"telephone_number": "303-757-6418",
"fax_number": "303-757-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S ONEIDA ST",
"address_2": "SUITE 200",
"city": "DENVER",
"state": "CO",
"postal_code": "802242549",
"telephone_number": "303-757-6418",
"fax_number": "303-757-2209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "MICHAEL",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "26103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01261031",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.