Individual provider Active NPI

Eve Marie Kocurek, L.AC.,L.CH.,D.O.M.

  • Acupuncturist
  • Golden, CO
National Provider Identifier
1477708170
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
736 Issued in CO
Practice address
4303 Ulysses Way
Golden, CO 80403-1918
Phone
(720) 394-4105
NPI assigned
Nov 21, 2008
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 736 CO Primary

Addresses

Primary practice location

4303 Ulysses Way
Golden, CO 80403-1918

Mailing address

4303 Ulysses Way
Golden, CO 80403-1918
Phone (720) 394-4105

Other identifiers 1

IdentifierTypeStateIssuer
1477708170OtherCOTIVITY

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL evekocurek@gmail.com

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

State licenses

LicenseStateTypeSpecialty
736COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1477708170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 ULYSSES WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031918",
            "telephone_number": "720-394-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 ULYSSES WAY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804031918",
            "telephone_number": "720-394-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCUREK",
        "first_name": "EVE",
        "middle_name": "MARIE",
        "credential": "L.AC.,L.CH.,D.O.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TIVITY",
            "identifier": "1477708170",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "evekocurek@gmail.com",
            "affiliation": "N",
            "address_1": "4303 Ulysses Way",
            "city": "Golden",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804031918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.