Active NPI
David J Porter, M.D.
- Diagnostic Radiology Physician
- Greenwood Village, CO
National Provider Identifier
1639116221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 41827
- Practice address
- 8200 E Belleview Ave
600
Greenwood Village, CO 80111-2803 - Phone
- (303) 761-9190
- Fax
- (720) 874-4462
- NPI assigned
- Jun 1, 2006
- Last updated
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 41827 | CO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 25146 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 04-36305 | KS |
Addresses
Primary practice location
8200 E Belleview Ave
600
Greenwood Village, CO 80111-2803
Mailing address
10700 E Geddes Ave
No 200
Englewood, CO 80112-3800
Phone (303) 761-9190
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104686310 | Medicaid | MI | |
| 49400746 | Medicaid | AZ | |
| 1639116221 | Medicaid | CA | |
| 1639116221 | Medicaid | WY | |
| 10025709000 | Medicaid | NE | |
| 17205573 | Medicaid | CO | |
| 84-059792913 | Medicaid | NE | |
| 171543501 | Medicaid | TX | |
| 200425430A | Medicaid | KS | |
| 920555 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41827 | CO | MD | Diagnostic Radiology Physician |
| 04-36305 | KS | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Gunnison Valley Hospital | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
-
dba Gunnison Valley Health Family Medicine Clinic
- Primary Care Clinic/Center
- Gunnison, CO
- NPI 1578997284
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1639116221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E GEDDES AVE",
"address_2": "NO 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123800",
"telephone_number": "303-761-9190",
"fax_number": "720-874-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 E BELLEVIEW AVE",
"address_2": "600",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112803",
"telephone_number": "303-761-9190",
"fax_number": "720-874-4462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "41827",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "25146",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "04-36305",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104686310",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49400746",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639116221",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639116221",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025709000",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17205573",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84-059792913",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171543501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200425430A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "920555",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
- Laura Mihaela Popescu, M.D.
- Brittny Marie Popolizio, LCSW
- Todd Popp, M.D.
- Ashley Anne Porter, CRNA
- Cynthia Porter
- Raye D Porter
- Portercare Adventist Health System (Centura Health Physician Group at DTC)
- Portercare Adventist Health System (AdventHealth Medical Group Orthopedics at Landmark)
- Portercare Adventist Health System (AdventHealth Medical Group OBGYN at DTC)
- Portercare Adventist Health System (AdventHealth Medical Group Spine and Neurosurgery at DTC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.