Organization Active NPI

Darrin Green MD PC

  • General Practice Physician
  • Montrose, CO
National Provider Identifier
1710969555
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DARRIN GREEN MD PC
Practice address
816 S 5TH St
Montrose, CO 81401-5765
Phone
(970) 249-3322
Fax
(970) 240-8823
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Michelle Jenkins
Title
Office Manager
Phone
(970) 240-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

816 S 5TH St
Montrose, CO 81401-5765

Mailing address

PO Box 171
Montrose, CO 81402-0171
Phone (970) 249-3322

Other identifiers 1

IdentifierTypeStateIssuer
32684711MedicaidCO

National Provider Directory

National Provider Directory

Locations

816 S 5th St
Ste D
Montrose, CO 81401
Phone (970) 249-3322

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1710969555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814020171",
            "telephone_number": "970-249-3322",
            "fax_number": "970-240-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015765",
            "telephone_number": "970-249-3322",
            "fax_number": "970-240-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRIN GREEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-240-8822"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32684711",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.