Jon G. Shick, D.O., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39612 Issued in CO

Legal business name

JON G. SHICK, D.O., LLC

Practice address

7850 Vance Dr Ste 185
Arvada, CO 80003-2127

Phone

(303) 423-0535

Fax

(303) 422-3881

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jon Glenn Shick, D.O.NPI 1265529044

Title

Owner

Phone

(303) 423-0535

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jon Glenn Shick, DO LLC

  • Family Medicine Physician
  • Arvada, CO
  • NPI 1265529044
  NPD (past) Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1568653236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848875",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848875",
            "telephone_number": "303-423-0535",
            "fax_number": "303-422-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 185",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032127",
            "telephone_number": "303-423-0535",
            "fax_number": "303-422-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON G. SHICK, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "SHICK",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-423-0535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "39612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42004772",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnson, LMT
• Joey Christine Johnson, RN BSN
• Michael Johnson, RPH
• Stacy Nicole Johnson, PA-S
• Stephanie Johnson
• James Francis Jonell, PH.D.
• Amy Elizabeth Jones, LPC
• Jeffrey Drake Jones, DC
• Kent Lamountdo Jones, RBT
• James H Jordan Jr., O.D.

• Family Medicine Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.