Individual provider Active NPI

Adam Blanning, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1578678454
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38883 Issued in CO
Practice address
3500 E 17TH Ave # 233
Denver, CO 80206-1813
Phone
(720) 404-9199
Fax
(720) 941-0234
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38883 CO Primary

Addresses

Primary practice location

3500 E 17TH Ave # 233
Denver, CO 80206-1813

Mailing address

3500 E 17TH Ave # 233
Denver, CO 80206-1813
Phone (720) 404-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161206000363 CO Order and Referring Only - Family PracticePractitioner - Family Practice 4082799499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38883COMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1578678454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 E 17TH AVE # 233",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061813",
            "telephone_number": "720-404-9199",
            "fax_number": "720-941-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 E 17TH AVE # 233",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802061813",
            "telephone_number": "720-404-9199",
            "fax_number": "720-941-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANNING",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.