Active NPI
Jeffrey Richardson Preston, M.D.
- Family Medicine Physician
- Casper, WY
National Provider Identifier
1508891078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TL2895
- Practice address
- 1201 E 3Rd St
Lower Level
Casper, WY 82601-2932 - Phone
- (307) 577-2195
- Fax
- (307) 577-2968
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43917 | CO | |
| Family Medicine Physician | 207Q00000X | TL2895 | WY | Primary |
Addresses
Primary practice location
1201 E 3Rd St
Lower Level
Casper, WY 82601-2932
Mailing address
1201 E 3Rd St
Lower Level
Casper, WY 82601-2932
Phone (307) 577-2195
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43917 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Ranch Healthcare LLC | 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.
-
- Urgent Care Clinic/Center
- Longmont, CO
- NPI 1720500879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1508891078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 E 3RD ST",
"address_2": "LOWER LEVEL",
"city": "CASPER",
"state": "WY",
"postal_code": "826012932",
"telephone_number": "307-577-2195",
"fax_number": "307-577-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 E 3RD ST",
"address_2": "LOWER LEVEL",
"city": "CASPER",
"state": "WY",
"postal_code": "826012932",
"telephone_number": "307-577-2195",
"fax_number": "307-577-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "JEFFREY",
"middle_name": "RICHARDSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "43917",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "TL2895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.