Individual provider Active NPI

Louis Baird Kasunic, D.O.

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1912083296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28038 Issued in CO
Practice address
755 S Perry St
Suite 100
Castle Rock, CO 80104-1901
Phone
(303) 688-8989
Fax
(303) 688-3482
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28038 CO Primary
Family Medicine Physician 207Q00000X 34.003912 OH

Addresses

Primary practice location

755 S Perry St
Suite 100
Castle Rock, CO 80104-1901

Mailing address

755 S Perry St
Suite 100
Castle Rock, CO 80104-1901
Phone (303) 688-8989

Other identifiers 1

IdentifierTypeStateIssuer
01280387MedicaidCO

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
28038COMDFamily Medicine Physician
34.003912OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912083296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S PERRY ST",
            "address_2": "SUITE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041901",
            "telephone_number": "303-688-8989",
            "fax_number": "303-688-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S PERRY ST",
            "address_2": "SUITE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041901",
            "telephone_number": "303-688-8989",
            "fax_number": "303-688-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASUNIC",
        "first_name": "LOUIS",
        "middle_name": "BAIRD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28038",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.003912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01280387",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.