Individual provider Active NPI

Vernon L Naake, M.D.

  • Obstetrics & Gynecology Physician
  • Thornton, CO
National Provider Identifier
1619066610
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36235 Issued in CO
Practice address
9195 Grant St
Suite 410
Thornton, CO 80229-4385
Phone
(303) 280-2229
Fax
(303) 991-1721
NPI assigned
Oct 11, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 36235 CO Primary

Addresses

Primary practice location

9195 Grant St
Suite 410
Thornton, CO 80229-4385

Mailing address

9195 Grant St
Suite 410
Thornton, CO 80229-4385
Phone (303) 280-2229

Other identifiers 1

IdentifierTypeStateIssuer
01362359MedicaidCO

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

LicenseStateTypeSpecialty
36235COMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1619066610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST",
            "address_2": "SUITE 410",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294385",
            "telephone_number": "303-280-2229",
            "fax_number": "303-991-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST",
            "address_2": "SUITE 410",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294385",
            "telephone_number": "303-280-2229",
            "fax_number": "303-991-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAAKE",
        "first_name": "VERNON",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "36235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01362359",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.