Organization Active NPI

David B Homer

Doing business as Telluride Family Practice

  • Family Medicine Physician
  • Telluride, CO
National Provider Identifier
1679576938
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25645 Issued in CO
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.