Active NPI
David B Homer
Doing business as Telluride Family Practice
- Family Medicine Physician
- Telluride, CO
National Provider Identifier
1679576938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25645
- Legal business name
- DAVID B HOMER
- Doing business as
- Telluride Family Practice
- Practice address
- 135 West Colorado Ave
Telluride, CO 81435 - Phone
- (970) 728-6654
- Fax
- (970) 728-5412
- NPI assigned
- May 31, 2005
- Last updated
- Jun 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Homer, MD
- Title
- Owner
- Phone
- (970) 728-6654
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25645 | CO | Primary |
Addresses
Primary practice location
135 West Colorado Ave
Telluride, CO 81435
Mailing address
PO Box 2397
Telluride, CO 81435-2397
Phone (970) 728-6654
Other names 1
- Telluride Family Practice
National Provider Directory
National Provider DirectoryLocations
135 W Colorado Ave
Telluride, CO 81435
Phone (970) 728-6654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1679576938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2397",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814352397",
"telephone_number": "970-728-6654",
"fax_number": "970-728-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 WEST COLORADO AVE",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "81435",
"telephone_number": "970-728-6654",
"fax_number": "970-728-5412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID B HOMER",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "HOMER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-728-6654",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "25645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Telluride Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Telluride, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.