Yidnekachew Anton Antokhin

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

08-319-0596 Issued in CO

Practice address

1171 S Kline Way
Lakewood, CO 80232-5043

Phone

(720) 666-0014

NPI assigned

Aug 7, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1578949962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S KLINE WAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325043",
            "telephone_number": "720-532-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 S KLINE WAY",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325043",
            "telephone_number": "720-666-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOKHIN",
        "first_name": "YIDNEKACHEW",
        "middle_name": "ANTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "08-319-0596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Abele, DMD PLLC; Dba Sleep Well Denver
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• Ella Crystal-Anne Ansbach
• Amy Ansel
• Maggie Anthony
• Anton Medical Supplies
• Antonio Silva DDS PA (Silva Orthodontics)
• Mark Steven Anundsen, DDS
• Apex Emergency Group, Inc
• Apex Pathology P.C.

• Non-emergency Medical Transport (VAN) in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.