Individual provider Active NPI

Jan C. Updike, M.D.

  • Occupational Medicine Physician
  • Denver, CO
National Provider Identifier
1912022005
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
16307 Issued in CO
Practice address
420 S Marion Pkwy
U-501
Denver, CO 80209-2542
Phone
(303) 918-2926
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 16307 CO Primary
Family Medicine Physician 207Q00000X 16307 CO

Addresses

Primary practice location

420 S Marion Pkwy
U-501
Denver, CO 80209-2542

Mailing address

7401 Church Ranch Blvd
S-202
Westminster, CO 80021-5539
Phone (303) 282-4015

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

State licenses

LicenseStateTypeSpecialty
16307COMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1912022005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 CHURCH RANCH BLVD",
            "address_2": "S-202",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215539",
            "telephone_number": "303-282-4015",
            "fax_number": "720-225-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S MARION PKWY",
            "address_2": "U-501",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092542",
            "telephone_number": "303-918-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPDIKE",
        "first_name": "JAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CO",
            "license": "16307",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "16307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.