Timothy Eugene Dudley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25203 Issued in CO

Practice address

8301 E Prentice Ave Ste 125
Greenwood Village, CO 80111-2989

Phone

(303) 771-3939

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2945/brand/1/csg/1/fhir/r4

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.

• DTC Family Health and Walk-in L L C

  • Family Medicine Physician
  • Greenwood Village, CO
  • NPI 1609817444

  Family Medicine

  NPD
• Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • Longmont, CO
  • NPI 1891675294
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497823249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 125",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112989",
            "telephone_number": "303-771-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 125",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112989",
            "telephone_number": "303-771-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 E Belleview Ave",
            "address_2": "Suite 100 E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112803",
            "country_code": "US",
            "telephone_number": "303-771-3939",
            "fax_number": "303-771-4949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 E Belleview Ave",
            "address_2": "Suite 100 E",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112803",
            "country_code": "US",
            "telephone_number": "303-771-3939",
            "fax_number": "303-771-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "TIMOTHY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "25203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01252030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DTC Dental Care,PC
• DTC Family Dentistry PLLC
• DTC Family Health and Walk-in L L C
• Meredith Fort Dubose, LCSW
• Morgan Ducklow, AA
• Nicholas Duff, MD
• Maggie Duffy
• Susana Dugas, MA, CCC-SLP
• Roger P Duggan, MD
• Lekal Duhart

• All providers in Greenwood Village, CO
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.