Individual provider Active NPI

Martha Gerving Regan-Smith, M.D.

  • Internal Medicine Physician
  • Westminster, CO
National Provider Identifier
1710179379
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0059271 Issued in CO
Practice address
8402 Clay Street
Westminster, CO 80031
Phone
(303) 487-7776
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6384 NH
Rheumatology Physician 207RR0500X 6384 NH
Internal Medicine Physician 207R00000X 0059271 CO Primary

Addresses

Primary practice location

8402 Clay Street
Westminster, CO 80031

Mailing address

8402 Clay Street
Westminster, CO 80031
Phone (303) 487-7776

Other identifiers 1

IdentifierTypeStateIssuer
1000692MedicaidVT

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

LicenseStateTypeSpecialty
0059271COMDInternal Medicine Physician
6384NHMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1710179379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8402 CLAY STREET",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "303-487-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 CLAY STREET",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80031",
            "telephone_number": "303-487-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN-SMITH",
        "first_name": "MARTHA",
        "middle_name": "GERVING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "6384",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "6384",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0059271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000692",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.