NPIMap

Organization Active NPI

Allan Carl Koenig M.D.

Doing business as Platte Valley Medical Clinic

  • General Practice Physician
  • Thornton, CO
National Provider Identifier
1790974343
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
26131 Issued in CO
Legal business name
ALLAN CARL KOENIG M.D.
Doing business as
Platte Valley Medical Clinic
Practice address
3959 E 120TH Ave
Thornton, CO 80233-1657
Phone
(303) 452-4343
Fax
(303) 452-3055
NPI assigned
Oct 19, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Allan Koenig, M.D.NPI 1043248966
Title
Owner/Presdient
Phone
(303) 452-4343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 26131 CO Primary

Addresses

Primary practice location

3959 E 120TH Ave
Thornton, CO 80233-1657

Mailing address

3959 E 120TH Ave
Thornton, CO 80233-1657
Phone (303) 452-4343

Other names 1

  • Platte Valley Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

3959 E 120th Ave
Thornton, CO 80233
Phone (303) 452-4343

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1790974343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331657",
            "telephone_number": "303-452-4343",
            "fax_number": "303-452-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331657",
            "telephone_number": "303-452-4343",
            "fax_number": "303-452-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN CARL KOENIG M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER/PRESDIENT",
        "authorized_official_telephone_number": "303-452-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "26131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platte Valley Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.