Active NPI
David R Kinnard, MD
- Interventional Cardiology Physician
- Golden, CO
National Provider Identifier
1700920592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 24950
- Practice address
- 3973 Douglas Mountain Dr
Golden, CO 80403-7701 - Phone
- (303) 809-9119
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 24950 | CO | Primary |
Addresses
Primary practice location
3973 Douglas Mountain Dr
Golden, CO 80403-7701
Mailing address
3973 Douglas Mountain Dr
Golden, CO 80403-7701
Phone (303) 809-9119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01249507 | Medicaid | CO |
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 |
|---|---|---|---|
| 30972 | CO | MD | Anesthesiology Physician |
| 24950 | CO | MD | Interventional Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1700920592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3973 DOUGLAS MOUNTAIN DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037701",
"telephone_number": "303-809-9119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3973 DOUGLAS MOUNTAIN DR",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037701",
"telephone_number": "303-809-9119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNARD",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CO",
"license": "24950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01249507",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.