Organization Active NPI

Glenn T. Kimata M.D., P.C.

  • Psychiatry Physician
  • Westminster, CO
National Provider Identifier
1508045162
Registry record updated Feb 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GLENN T. KIMATA M.D., P.C.
Practice address
8771 Wolff CT
Suite 115
Westminster, CO 80031-6948
Phone
(303) 650-8005
Fax
(303) 412-5891
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2009

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

Authorized official

Name
Dr. Glenn Tetsuo Kimata, M.D.NPI 1134272602
Title
President
Phone
(303) 650-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8771 Wolff CT
Suite 115
Westminster, CO 80031-6948

Mailing address

8771 Wolff CT
Suite 115
Westminster, CO 80031-6948
Phone (303) 650-8005

National Provider Directory

National Provider Directory

Locations

8771 Wolff Ct
Ste 220
Westminster, CO 80031
Phone (303) 650-8005

8771 Wolff Ct
Ste 115
Westminster, CO 80031
Phone (303) 426-9294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235174400000",
    "number": "1508045162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8771 WOLFF CT",
            "address_2": "SUITE 115",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316948",
            "telephone_number": "303-650-8005",
            "fax_number": "303-412-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8771 WOLFF CT",
            "address_2": "SUITE 115",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316948",
            "telephone_number": "303-650-8005",
            "fax_number": "303-412-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN T. KIMATA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2009-02-21",
        "status": "A",
        "authorized_official_last_name": "KIMATA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "TETSUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-650-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2009; 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.