Active NPI
Kenneth C Fehr III
- Durable Medical Equipment & Medical Supplies
- Centennial, CO
National Provider Identifier
1861972101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 83-0688166
- Practice address
- 7334 S Chapparal Cir W
Centennial, CO 80016-2177 - Phone
- (303) 589-5608
- Fax
- (888) 907-0019
- NPI assigned
- Aug 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 83-0688166 | CO | Primary |
Addresses
Primary practice location
7334 S Chapparal Cir W
Centennial, CO 80016-2177
Mailing address
7334 S Chapparal Cir W
Centennial, CO 80016-2177
Phone (303) 589-5608
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-0688166 | CO | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1861972101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7334 S CHAPPARAL CIR W",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800162177",
"telephone_number": "303-589-5608",
"fax_number": "888-907-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7334 S CHAPPARAL CIR W",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800162177",
"telephone_number": "303-589-5608",
"fax_number": "888-907-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHR",
"first_name": "KENNETH",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CO",
"license": "83-0688166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.