Organization Active NPI

Arbor Family Medicine

  • Family Medicine Physician
  • Thornton, CO
National Provider Identifier
1871514901
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19891023904 Issued in CO
Legal business name
ARBOR FAMILY MEDICINE
Practice address
3655 E 104TH Ave
Suite a
Thornton, CO 80233-4469
Phone
(303) 254-8500
Fax
(303) 453-4994
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Kenneth Hahn, MDNPI 1922005818
Title
President
Phone
(303) 254-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 19891023904 CO Primary

Addresses

Primary practice location

3655 E 104TH Ave
Suite a
Thornton, CO 80233-4469

Mailing address

3655 E 104TH Ave
Suite a
Thornton, CO 80233-4469
Phone (303) 254-8500

Other identifiers 1

IdentifierTypeStateIssuer
04008918MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000474 CO Part B Supplier - Clinic/Group Practice 7012808082 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Thornton, CO; Westminster, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1871514901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "303-254-8500",
            "fax_number": "303-453-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E 104TH AVE",
            "address_2": "SUITE A",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334469",
            "telephone_number": "303-254-8500",
            "fax_number": "303-453-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-254-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "19891023904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008918",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.