Individual provider Active NPI

Karen K Comba

  • Home Modifications Contractor
  • Castle Rock, CO
National Provider Identifier
1508225004
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
364757391 Issued in CO
Practice address
4319 Chateau Ridge Rd
Castle Rock, CO 80108-8424
Phone
(303) 807-1019
Fax
(303) 683-1527
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X 364757391 CO Primary

Addresses

Primary practice location

4319 Chateau Ridge Rd
Castle Rock, CO 80108-8424

Mailing address

4319 Chateau Ridge Rd
Castle Rock, CO 80108-8424
Phone (303) 807-1019

Other identifiers 1

IdentifierTypeStateIssuer
95320032MedicaidCO

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

Practice roles

OrganizationSpecialtyStatusNew patients
KC Construction, Inc Home Modifications Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467936000000",
    "number": "1508225004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 CHATEAU RIDGE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088424",
            "telephone_number": "303-807-1019",
            "fax_number": "303-683-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 CHATEAU RIDGE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801088424",
            "telephone_number": "303-807-1019",
            "fax_number": "303-683-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBA",
        "first_name": "KAREN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "CO",
            "license": "364757391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95320032",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.