Organization Active NPI

William Wenokor, M.D., P.C.

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1912067406
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31479 Issued in CO
Legal business name
WILLIAM WENOKOR, M.D., P.C.
Practice address
3445 Penrose PL
Suite 130
Boulder, CO 80301-1878
Phone
(303) 541-9557
NPI assigned
Dec 12, 2006
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Dr. William Wenokor, M.D.NPI 1649563917
Title
President
Phone
(303) 541-9557

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
Psychiatry Physician 2084P0800X 31479 CO Primary

Addresses

Primary practice location

3445 Penrose PL
Suite 130
Boulder, CO 80301-1878

Mailing address

3445 Penrose PL
Suite 130
Boulder, CO 80301-1878
Phone (303) 541-9557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1912067406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL",
            "address_2": "SUITE 130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011878",
            "telephone_number": "303-541-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PENROSE PL",
            "address_2": "SUITE 130",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011878",
            "telephone_number": "303-541-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WENOKOR, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "WENOKOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-541-9557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "31479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.