Organization Active NPI

Kenneth Cyril Ekiko

  • Durable Medical Equipment & Medical Supplies
  • Arvada, CO
National Provider Identifier
1508976465
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KENNETH CYRIL EKIKO
Practice address
5225 W 80TH Ave Ste E
Arvada, CO 80003-1960
Phone
(303) 650-4319
Fax
(303) 650-4466
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Kenneth Cyril Ekiko
Title
Owner
Phone
(303) 650-4319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5225 W 80TH Ave Ste E
Arvada, CO 80003-1960

Mailing address

5225 W 80TH Ave Ste E
Arvada, CO 80003-1960
Phone (303) 650-4319

Other identifiers 1

IdentifierTypeStateIssuer
07633548MedicaidCO

National Provider Directory

National Provider Directory

Locations

5225 W 80th Ave
Ste E
Arvada, CO 80003
Phone (303) 635-2222

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1508976465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 W 80TH AVE STE E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031960",
            "telephone_number": "303-650-4319",
            "fax_number": "303-650-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 W 80TH AVE STE E",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031960",
            "telephone_number": "303-650-4319",
            "fax_number": "303-650-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH CYRIL EKIKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "EKIKO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CYRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-650-4319",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07633548",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.