Active NPI
Mikhail Dvorkin
- Durable Medical Equipment & Medical Supplies
- Denver, CO
National Provider Identifier
1497144695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 201511024023
- Practice address
- 9450 E Mississippi Ave Unit F
Denver, CO 80247-2427 - Phone
- (720) 271-0914
- NPI assigned
- Jan 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 201511024023 | CO | Primary |
Addresses
Primary practice location
9450 E Mississippi Ave Unit F
Denver, CO 80247-2427
Mailing address
9450 E Mississippi Ave Unit F
Denver, CO 80247-2427
Phone (720) 271-0914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20151024023 | Other | CO | MEDICAL SUPPLY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201511024023 | CO | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1497144695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 E MISSISSIPPI AVE UNIT F",
"city": "DENVER",
"state": "CO",
"postal_code": "802472427",
"telephone_number": "720-271-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9450 E MISSISSIPPI AVE UNIT F",
"city": "DENVER",
"state": "CO",
"postal_code": "802472427",
"telephone_number": "720-271-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORKIN",
"first_name": "MIKHAIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "201511024023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL SUPPLY",
"identifier": "20151024023",
"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 Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.