Active NPI
Howard Jay Entin, M.D.
- Psychiatry Physician
- Centennial, CO
National Provider Identifier
1679918882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0022429
- Practice address
- 6081 S Quebec St
Suite # 200
Centennial, CO 80111-4536 - Phone
- (303) 721-7330
- Fax
- (720) 488-6566
- NPI assigned
- May 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0022429 | CO | Primary |
Addresses
Primary practice location
6081 S Quebec St
Suite # 200
Centennial, CO 80111-4536
Mailing address
6081 S Quebec St
Suite # 200
Centennial, CO 80111-4536
Phone (303) 721-7330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224001203 | CO | Order and Referring Only - Psychiatry | 5890725022 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0022429 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1679918882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6081 S QUEBEC ST",
"address_2": "SUITE # 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114536",
"telephone_number": "303-721-7330",
"fax_number": "720-488-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6081 S QUEBEC ST",
"address_2": "SUITE # 200",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801114536",
"telephone_number": "303-721-7330",
"fax_number": "720-488-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTIN",
"first_name": "HOWARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-01",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0022429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.