Daniel B Jinich MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24687 Issued in CO

Legal business name

DANIEL B JINICH MD PC

Practice address

2001 S Shields St
Suite 201 BLDG E
Fort Collins, CO 80526-1827

Phone

(970) 221-9991

Fax

(970) 221-9992

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel B Jinich, M.D.

Title

Owner/Physician

Phone

(970) 221-9991

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1801066600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "BLDG E STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-221-9991",
            "fax_number": "970-221-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S SHIELDS ST",
            "address_2": "SUITE 201 BLDG E",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261827",
            "telephone_number": "970-221-9991",
            "fax_number": "970-221-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B JINICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "JINICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "970-221-9991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "24687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246875",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080187244",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah M Dance, MD
• Lauren Ashley Dandurand
• Stephanie Lyn Dandurand, MS LPC
• James Danella Jr., L.AC.
• May Dang, BCBA
• Dale E. Daniel, LPC, CAC III
• Sheryl Daniel, RMT
• Emily Anne Daniels
• Lori Marguerite Daniels
• Joseph Dannels

• Family Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.