Individual provider Active NPI

Howard Jay Entin, M.D.

  • Psychiatry Physician
  • Centennial, CO
National Provider Identifier
1679918882
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0022429 Issued in CO
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

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160224001203 CO Order and Referring Only - PsychiatryPractitioner - Psychiatry 5890725022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0022429COMDPsychiatry 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

Verify at the official NPI Registry.