Active NPI
David J Conyers, M.D.
- Specialist
- Boulder, CO
National Provider Identifier
1780648378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26818
- Practice address
- 4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080 - Phone
- (303) 449-2730
- Fax
- (303) 449-5821
- NPI assigned
- Apr 12, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 26818 | CO | Primary |
Addresses
Primary practice location
4740 Pearl Pkwy Ste 200
Boulder, CO 80301-3080
Mailing address
8550 W 38TH Ave
Suite 106
Wheat Ridge, CO 80033-4300
Phone (303) 421-1440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1268184 | Medicaid | CO | |
| 400000514 | Other | CO | RAIL ROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Hand and Arm P.C. | Specialist | Past | Accepting new patients |
| Mountain States Hand and Physical Therapy, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7897/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Specialist
- Wheat Ridge, CO
- NPI 1962428524
-
- Physical Therapist
- Wheat Ridge, CO
- NPI 1588622567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780648378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 W 38TH AVE",
"address_2": "SUITE 106",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334300",
"telephone_number": "303-421-1440",
"fax_number": "303-421-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 PEARL PKWY STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013080",
"telephone_number": "303-449-2730",
"fax_number": "303-449-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONYERS",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "26818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1268184",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "400000514",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.