Organization Active NPI

McKinley Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Wheat Ridge, CO
National Provider Identifier
1487657292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
15-13571-0000 Issued in CO
Legal business name
MCKINLEY MEDICAL LLC
Practice address
4080 Youngfield St
Wheat Ridge, CO 80033-3862
Phone
(303) 420-9569
Fax
(303) 420-4545
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Conner
Title
Insurance Billing Manager
Phone
(303) 420-9569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 15-13571-0000 CO Primary

Addresses

Primary practice location

4080 Youngfield St
Wheat Ridge, CO 80033-3862

Mailing address

4080 Youngfield St
Wheat Ridge, CO 80033-3862
Phone (303) 420-9569

National Provider Directory

National Provider Directory

Locations

4080 Youngfield St
Wheat Ridge, CO 80033
Phone (303) 420-9569

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487657292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333862",
            "telephone_number": "303-420-9569",
            "fax_number": "303-420-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 YOUNGFIELD ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333862",
            "telephone_number": "303-420-9569",
            "fax_number": "303-420-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "INSURANCE BILLING MANAGER",
        "authorized_official_telephone_number": "303-420-9569"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "15-13571-0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.